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H55.09

Billable

Other forms of nystagmus

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

What This Code Means

A person has involuntary eye movements of a type not specifically classified elsewhere, such as periodic alternating nystagmus or other variants.

Coding Tips

  • Use this code only when the nystagmus type does not fit into the more specific categories (congenital, latent, dissociated)
  • Document the specific characteristics of the nystagmus pattern observed to support medical necessity

Code Hierarchy

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