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H52.511

Billable

Internal ophthalmoplegia (complete) (total), right eye

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

What This Code Means

Complete paralysis of the internal eye muscles (those controlling pupil and lens focus) in the right eye, affecting the eye's ability to adjust focus and respond to light.

Coding Tips

  • •Verify documentation specifies 'complete' or 'total' paralysis to distinguish from partial ophthalmoplegia
  • •Confirm laterality is documented as right eye; if bilateral, use H52.513 instead

Code Hierarchy

└H52Disorders of refraction and accommodation└H52.5Disorders of accommodation└H52.51Internal ophthalmoplegia (complete) (total)└H52.511Internal ophthalmoplegia (complete) (total), right eye
└H52.511Internal ophthalmoplegia (complete) (total), right eye

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