ICDcodes.org
FY2027

H59.113 — Intraoperative hemorrhage and hematoma of eye and adnexa complicating an ophthalmic procedure, bilateral

BillableCC

Is H59.113 billable?

Yes — H59.113 is billable for FY2027. H59.113 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. H59.113 may be submitted for encounters from October 1, 2026 through September 30, 2027.

H59.113 at a glance

CodeH59.113
DescriptionIntraoperative hemorrhage and hematoma of eye and adnexa complicating an ophthalmic procedure, bilateral
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

Which MS-DRGs does H59.113 group to?

H59.113 sits in MDC 21 and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

  • 919Complications of Treatment with MCCmedical
  • 920Complications of Treatment with CCmedical
  • 921Complications of Treatment without CC/MCCmedical

As a secondary diagnosis, H59.113 is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.

How is H59.113 listed in the Alphabetic Index?

The Alphabetic Index lists these routes under H59.11, the nearest indexed parent of H59.113. Use them to find the family, then select the specific code.

  • Complication › intraoperative › hemorrhage › eye and adnexa › during ophthalmic procedure (s) (from) (of)

Excludes1 — never code together — inherited from H59

The conditions below can never be reported together with H59.113 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

  • mechanical complication of intraocular lens (T85.2)
  • mechanical complication of other ocular prosthetic devices, implants and grafts (T85.3)
  • pseudophakia (Z96.1)
  • secondary cataracts (H26.4-)

Excludes1 — never code together — inherited from H59.1

The conditions below can never be reported together with H59.113 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

  • intraoperative hemorrhage and hematoma of eye and adnexa due to accidental puncture or laceration during a procedure (H59.2-)

Excludes2 — not included here — inherited from Chapter 7

The conditions below are not part of H59.113, but a patient may have both at the same time. When documentation supports it, H59.113 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)

How long has H59.113 existed?

H59.113 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.

What other codes are in the H59.11 family? (3)