H59.212 ICD-10-CM Code: Accidental puncture and laceration of left eye and adnexa during an ophthalmic procedure

H59.212 is the ICD-10-CM diagnosis code for accidental puncture and laceration of left eye and adnexa during an ophthalmic procedure. An accidental cut or puncture wound to the left eye or surrounding tissues that occurs during eye surgery. H59.212 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).

H59.212 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.

Verify the injury was accidental and not part of the planned surgical approach.