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H05.259

Billable

Intermittent exophthalmos, unspecified eye

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

A condition where the eye intermittently protrudes or bulges outward from its socket, then returns to normal position, but the specific eye is not documented.

Coding Tips

  • Use only when laterality cannot be determined from medical record documentation
  • Query provider if laterality is documented elsewhere in the chart to use more specific code

Code Hierarchy

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