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H05.333

Billable

Deformity of bilateral orbits due to trauma or surgery

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

What This Code Means

This code describes a permanent change in the shape or structure of both eye sockets (orbits) that resulted from an injury, accident, or surgical procedure. The deformity affects both sides of the face and may impact eye positioning or function.

Coding Tips

  • Verify that the deformity affects BOTH orbits (bilateral) - if only one side is affected, use H05.331 or H05.332 instead
  • Document the cause clearly in the medical record (trauma vs. surgery) as this helps justify the code selection and may require an additional external cause code (W, X, or Y codes) if trauma-related

Code Hierarchy

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