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    OpenPayerBilling CodesOther disorders of eye and adnexaICD-10-CM h57-other-disorders-of-eye-and-adnexa
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    ICD-10-CM Code For Other Disorders Of Eye And Adnexa: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group H57 includes miscellaneous and non-specific disorders of the eye and adnexa, such as visual disturbances, eye pain, and other conditions not classified elsewhere. These ICD-10-CM diagnosis codes are used to document clinical encounters involving unexplained ocular symptoms, transient visual changes, or other non-specific eye findings, capturing disease presentation and complexity. Accurate coding within the ICD-10-CM H57 group supports proper claim adjudication, complete clinical documentation, and appropriate reimbursement.

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    ICD-10-CM H57: Other Disorders Of Eye And Adnexa Overview

    The ICD-10-CM H57 group includes miscellaneous disorders affecting the eye and its adnexa, such as visual disturbances, eye pain, and other non-specific ocular conditions. These codes target ocular structures and functions that do not fit into more specific eye disease categories. Accurate coding ensures clinical records reflect the diagnosis and supports appropriate reimbursement for ophthalmic services.

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    When to Use

    Use a code from this group when a patient presents with ocular symptoms or findings that are not attributable to a more specific eye disease category and the clinician documents a non-specific or other disorder of the eye or adnexa. These codes apply for encounters documenting transient visual changes, unexplained eye pain, or other unspecified ocular abnormalities when no more precise diagnosis is available.

    ICD-10-CM Codes

    24 rows

    ICD-10-CM CodeDescription
    H57.00Unspecified anomaly of pupillary function
    H57.01Argyll Robertson pupil, atypical
    H57.02Anisocoria
    H57.03Miosis
    H57.04Mydriasis
    H57.051Tonic pupil, right eye
    H57.052Tonic pupil, left eye
    H57.053Tonic pupil, bilateral
    H57.059Tonic pupil, unspecified eye
    H57.09Other anomalies of pupillary function
    H57.10Ocular pain, unspecified eye
    H57.11Ocular pain, right eye
    H57.12Ocular pain, left eye
    H57.13Ocular pain, bilateral
    H57.811Brow ptosis, right
    H57.812Brow ptosis, left
    H57.813Brow ptosis, bilateral
    H57.819Brow ptosis, unspecified
    H57.89Other specified disorders of eye and adnexa
    H57.8A1Foreign body sensation, right eye

    Showing 1–20 of 24

    DRG Codes

    5 rows

    DRG CodeDescription
    056Degenerative Nervous System Disorders with MCC
    057Degenerative Nervous System Disorders without MCC
    123Neurological Eye Disorders
    124Other Disorders of the Eye with MCC or Thrombolytic Agent
    125Other Disorders of the Eye without MCC

    Typical Clinical Scenarios

    • An elderly patient presents to the emergency department with sudden onset of painless vision loss and reports seeing flashes and floaters; bedside eye exam shows a relative afferent pupillary defect and irregular visual field testing suggests optic nerve dysfunction. The acute presentation and objective signs prompt evaluation for nontraumatic optic nerve or visual pathway disorders, and a code from this group is assigned to capture the specific visual disturbance identified on exam. Typical codes: H57.00, H57.01
    • A middle-aged patient in ophthalmology clinic with months of intermittent blurring, diplopia on lateral gaze, and documented extraocular muscle dysfunction after a thyroid disorder; symptoms are chronic and monitored over time with serial exams and imaging. Because the primary problem involves persistent ocular motility disturbance or binocular vision disorder related to the eye/adnexa, a chronic disorder code from this group is used for ongoing management and tracking. Typical codes: H57.12, H57.13
    • A hospitalized patient recovering from head trauma develops persistent visual disturbances including photophobia and visual misperception that are not explained by primary retinal disease; neurology and ophthalmology document unspecified visual disturbances secondary to the injury as a comorbidity complicating the hospital course. To report the visual disorder complicating recovery and resource use, an unspecified or other specified code from this group is assigned. Typical codes: H57.89, H57.9}

    Related Codes

    H55-NYSTAGMUS-AND-IRREGULAR-EYE-MOVEMENTS

    ICD-10-CM Code For Nystagmus And Other Irregular Eye Movements: Group Overview

    Frequently Asked Questions

    References

    1. 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. 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. 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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