H05.3 — Deformity of orbit
Is H05.3 billable?
No — H05.3 is a non-billable header code. H05.3 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 21 billable codes beneath H05.3.
Billable codes under this header
- H05.30Unspecified deformity of orbit
- H05.311Atrophy of right orbit
- H05.312Atrophy of left orbit
- H05.313Atrophy of bilateral orbit
- H05.319Atrophy of unspecified orbit
- H05.321Deformity of right orbit due to bone disease
- H05.322Deformity of left orbit due to bone disease
- H05.323Deformity of bilateral orbits due to bone disease
- H05.329Deformity of unspecified orbit due to bone disease
- H05.331Deformity of right orbit due to trauma or surgery
- H05.332Deformity of left orbit due to trauma or surgery
- H05.333Deformity of bilateral orbits due to trauma or surgery
- H05.339Deformity of unspecified orbit due to trauma or surgery
- H05.341Enlargement of right orbit
- H05.342Enlargement of left orbit
- H05.343Enlargement of bilateral orbits
- H05.349Enlargement of unspecified orbit
- H05.351Exostosis of right orbit
- H05.352Exostosis of left orbit
- H05.353Exostosis of bilateral orbits
- H05.359Exostosis of unspecified orbit
H05.3 at a glance
| Code | H05.3 |
|---|---|
| Description | Deformity of orbit |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Excludes1 — never code together
The conditions below can never be reported together with H05.3 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Excludes1 — never code together — inherited from H05
The conditions below can never be reported together with H05.3 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- congenital malformation of orbit (Q10.7)
Excludes2 — not included here — inherited from Chapter 7
The conditions below are not part of H05.3, but a patient may have both at the same time. When documentation supports it, H05.3 and the excluded code may both be reported.
- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
- diabetes mellitus related eye conditions (E09.3-, E10.3-, E11.3-, E13.3-)
- endocrine, nutritional and metabolic diseases (E00-E88)
- injury (trauma) of eye and orbit (S05.-)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
- syphilis related eye disorders (A50.01, A50.3-, A51.43, A52.71)
Excludes2 — not included here — inherited from H00-H05
The conditions below are not part of H05.3, but a patient may have both at the same time. When documentation supports it, H05.3 and the excluded code may both be reported.
What codes fall under H05.3? (6)
How long has H05.3 existed?
H05.3 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
Which codes are confused with H05.3?
ICD-10-CM declares these codes mutually exclusive with H05.3 — exactly one of each pair can be correct for a given encounter.
What other codes are in the H05 family? (7)
- H05.0Acute inflammation of orbitnot billable
- H05.1Chronic inflammatory disorders of orbitnot billable
- H05.2Exophthalmic conditionsnot billable
- H05.4Enophthalmosnot billable
- H05.5Retained (old) foreign body following penetrating wound of orbitnot billable
- H05.8Other disorders of orbitnot billable
- H05.9Unspecified disorder of orbit