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H59.229 ICD-10-CM Code: Accidental puncture and laceration of unspecified eye and adnexa during other procedure

ICD-10-CM Code View

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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)

H59.229

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Accidental puncture and laceration of unspecified eye and adnexa during other procedure

An accidental cut or puncture wound to an eye or surrounding structures during a procedure, but the specific eye affected is not documented.

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
H59.2Accidental puncture and laceration of eye and adnexa during a procedure
H59.22Accidental puncture and laceration of eye and adnexa during other procedure
H59.229Accidental puncture and laceration of unspecified eye and adnexa during other procedure

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for H59.229 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for H59.229 in this effective period.

Related Child Codes

Official
H59.221Accidental puncture and laceration of right eye and adnexa during other procedure
H59.222Accidental puncture and laceration of left eye and adnexa during other procedure
H59.223Accidental puncture and laceration of eye and adnexa during other procedure, bilateral

Includes

Official

ICD-10-CM does not list Includes notes for H59.229 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for H59.229 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for H59.229 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for H59.229 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for H59.229 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Use this code only when laterality cannot be determined from documentation
Query the provider if possible to determine which eye was injured for more specific coding

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 H59.229 an HCC code?

No. H59.229 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

Coder workflow notes

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

What This Code Means

H59.229 is the ICD-10-CM diagnosis code for accidental puncture and laceration of unspecified eye and adnexa during other procedure. An accidental cut or puncture wound to an eye or surrounding structures during a procedure, but the specific eye affected is not documented. H59.229 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).

H59.229 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.

Use this code only when laterality cannot be determined from documentation.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for H59.229 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Use this code only when laterality cannot be determined from documentation
  • Query the provider if possible to determine which eye was injured for more specific coding

Child Codes

Code Hierarchy

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