ICD-10-PCS Code For Left Extraocular Muscle: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 08XM includes procedures performed to transfer extraocular muscle tissue in the left eye. These ICD-10-PCS codes are used for inpatient documentation when a portion or all of a left extraocular muscle is moved to another location to assume the function of another muscle or structure affecting ocular motility. Accurate coding within the ICD-10-PCS 08XM group is essential for proper inpatient reimbursement, as it captures the specific transfer procedure performed and determines appropriate case mix and payment.

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Left Extraocular Muscle Transfer Procedure Overview

Procedures in this group involve transferring all or a portion of a left extraocular muscle to another location to take over the function of another muscle or portion of the eye movement apparatus. These procedures target the eye body system and are coded in the inpatient setting using the International Classification of Diseases, Tenth Revision, Procedure Coding System. Accurate coding ensures the recorded procedure reflects the transfer operation performed and supports proper inpatient reimbursement and clinical documentation.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
8	Body System	Eye
X	Operation	Transfer
M	Body Part	Extraocular Muscle, Left

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ICD-10-PCS Code For Left Extraocular Muscle: Procedure Code Group Overview

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Left Extraocular Muscle Transfer Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
8	Body System	Eye
X	Operation	Transfer
M	Body Part	Extraocular Muscle, Left

When to Use

Use a code from this group when a surgeon transfers a left extraocular muscle, or a portion of it, to restore or alter ocular motility by taking over the function of another muscle. These codes apply when the operation is performed in an inpatient setting and the intent is to transfer tissue rather than remove or solely repair it.

ICD-10-PCS Codes

2 rows

ICD-10-PCS Code	Description
08XM0ZZ	Transfer Left Extraocular Muscle, Open Approach
08XM3ZZ	Transfer Left Extraocular Muscle, Percutaneous Approach

DRG Codes

4 rows

DRG Code	Description
115	Extraocular Procedures Except Orbit
987	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis with MCC
988	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis with CC
989	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis without CC/MCC

Typical Clinical Scenarios

A pediatric patient with longstanding unilateral congenital sixth nerve palsy presents with large-angle esotropia and limited abduction of the left eye causing symptomatic diplopia and abnormal head posture. After preoperative assessment and inpatient admission for surgical correction, the surgeon performs a transfer of the left lateral rectus (an extraocular muscle) to a new insertion to augment abduction and restore ocular alignment. The procedure is done via an open surgical approach under general anesthesia to reposition the muscle and reestablish function. Typical codes: 08XM0ZZ
An adult patient sustains orbital trauma in a motor vehicle collision with partial avulsion and loss of function of the left superior oblique tendon complex resulting in painful diplopia and vertical strabismus. Inpatient surgical management is undertaken urgently to transfer and reattach a segment of the left extraocular muscle to a new location to assume the deficient muscle's function and stabilize ocular motility. The surgeon accesses the muscle through an open approach to securely transfer tissue and restore alignment. Typical codes: 08XM0ZZ
A middle-aged adult with prior left extraocular muscle surgery presents with persistent symptomatic diplopia and undercorrection after previous recession-resection procedures. The surgical team admits the patient for a revision operation to transfer a portion of the left extraocular muscle to a different insertion site to take over the function of an inadequately functioning muscle and improve ocular motility. The revision is performed through a percutaneous approach when feasible to minimize additional dissection while achieving the transfer. Typical codes: 08XM3ZZ

Related Codes

08XL-EXTRAOCULAR-MUSCLE-RIGHT-TRANSFER

ICD-10-PCS Code For Extraocular Muscle Right: Procedure Code Group Overview

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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When to Use

ICD-10-PCS Codes

2 rows

ICD-10-PCS Code	Description
08XM0ZZ	Transfer Left Extraocular Muscle, Open Approach
08XM3ZZ	Transfer Left Extraocular Muscle, Percutaneous Approach

DRG Codes

4 rows

DRG Code	Description
115	Extraocular Procedures Except Orbit
987	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis with MCC
988	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis with CC
989	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis without CC/MCC

Typical Clinical Scenarios

A pediatric patient with longstanding unilateral congenital sixth nerve palsy presents with large-angle esotropia and limited abduction of the left eye causing symptomatic diplopia and abnormal head posture. After preoperative assessment and inpatient admission for surgical correction, the surgeon performs a transfer of the left lateral rectus (an extraocular muscle) to a new insertion to augment abduction and restore ocular alignment. The procedure is done via an open surgical approach under general anesthesia to reposition the muscle and reestablish function. Typical codes: 08XM0ZZ
An adult patient sustains orbital trauma in a motor vehicle collision with partial avulsion and loss of function of the left superior oblique tendon complex resulting in painful diplopia and vertical strabismus. Inpatient surgical management is undertaken urgently to transfer and reattach a segment of the left extraocular muscle to a new location to assume the deficient muscle's function and stabilize ocular motility. The surgeon accesses the muscle through an open approach to securely transfer tissue and restore alignment. Typical codes: 08XM0ZZ
A middle-aged adult with prior left extraocular muscle surgery presents with persistent symptomatic diplopia and undercorrection after previous recession-resection procedures. The surgical team admits the patient for a revision operation to transfer a portion of the left extraocular muscle to a different insertion site to take over the function of an inadequately functioning muscle and improve ocular motility. The revision is performed through a percutaneous approach when feasible to minimize additional dissection while achieving the transfer. Typical codes: 08XM3ZZ

Related Codes

08XL-EXTRAOCULAR-MUSCLE-RIGHT-TRANSFER

ICD-10-PCS Code For Extraocular Muscle Right: Procedure Code Group Overview

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

ICD-10-PCS Code For Left Extraocular Muscle: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Left Extraocular Muscle: Procedure Code Group Overview policy alerts

Left Extraocular Muscle Transfer Procedure Overview

Code Attributes

ICD-10-PCS Code For Left Extraocular Muscle: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Left Extraocular Muscle: Procedure Code Group Overview policy alerts

Left Extraocular Muscle Transfer Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in the ICD-10-PCS code group 08XM for the left eye?

What is the primary clinical intent of procedures coded in 08XM?

In what setting are the ICD-10-PCS 08XM codes used for documentation?

What are the approach options identified within the 08XM code group?

How do 08XM codes relate to DRG assignment for reimbursement?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in the ICD-10-PCS code group 08XM for the left eye?

What is the primary clinical intent of procedures coded in 08XM?

In what setting are the ICD-10-PCS 08XM codes used for documentation?

What are the approach options identified within the 08XM code group?

How do 08XM codes relate to DRG assignment for reimbursement?

References