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H59.0 ICD-10-CM Code: Disorders of the eye following cataract surgery

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FY 2026 Apr update / Diseases of the eye and adnexa (H00-H59) / Intraoperative and postprocedural complications and disorders of eye and adnexa, not elsewhere classified (H59)

H59.0

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Disorders of the eye following cataract surgery

Disorders of the eye following cataract surgery

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
H59Intraoperative and postprocedural complications and disorders of eye and adnexa, not elsewhere classified
H59.0Disorders of the eye following cataract surgery

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for H59.0 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for H59.0 in this effective period.

Related Child Codes

Official
H59.01Keratopathy (bullous aphakic) following cataract surgery
H59.02Cataract (lens) fragments in eye following cataract surgery
H59.03Cystoid macular edema following cataract surgery
H59.09Other disorders of the eye following cataract surgery

Includes

Official

ICD-10-CM does not list Includes notes for H59.0 in this effective period.

Excludes 1

Official
  • mechanical complication of intraocular lens (T85.2)
  • mechanical complication of other ocular prosthetic devices, implants and grafts (T85.3)
  • pseudophakia (Z96.1)
  • secondary cataracts (H26.4-)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for H59.0 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for H59.0 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for H59.0 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

Coder workflow notes

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What This Code Means

H59.0 is the ICD-10-CM diagnosis code for disorders of the eye following cataract surgery. H59.0 sits in the ICD-10-CM chapter for diseases of the eye and adnexa (h00-h59), within the section covering intraoperative and postprocedural complications and disorders of eye and adnexa, not elsewhere classified (h59).

Header codes like H59.0 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at H59.0's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for H59.0 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Child Codes

Code Hierarchy

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