H59.122 ICD-10-CM Code: Intraoperative hemorrhage and hematoma of left eye and adnexa complicating other procedure
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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)
H59.122
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceIntraoperative hemorrhage and hematoma of left eye and adnexa complicating other procedure
Bleeding and blood collection in the left eye or surrounding tissues that occurs during a non-eye surgical procedure.
CMS-HCC V28
00
RAF 0
CMS-HCC V24
00
RAF 0
ACA/HHS
00
RAF 0
ESRD/PACE
00
RAF 0
RXHCC
00
RAF 0
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Inclusion Terms
OfficialICD-10-CM does not list inclusion terms for H59.122 in this effective period.
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for H59.122 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for H59.122 in this effective period.
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for H59.122 in this effective period.
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for H59.122 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for H59.122 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for H59.122 in this effective period.
Buddy Documentation Tip
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.
Is H59.122 an HCC code?
No. H59.122 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
H59.122 is the ICD-10-CM diagnosis code for intraoperative hemorrhage and hematoma of left eye and adnexa complicating other procedure. Bleeding and blood collection in the left eye or surrounding tissues that occurs during a non-eye surgical procedure. H59.122 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).
H59.122 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.
Distinguish this from H59.112 by confirming the primary procedure was not an ophthalmic procedure.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for H59.122 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Distinguish this from H59.112 by confirming the primary procedure was not an ophthalmic procedure
- •Document which non-ophthalmic procedure caused the eye complication