H49.81

Kearns-Sayre syndrome

FY2027Chapter 7: Diseases of the eye and adnexa/H49–H52 Disorders of ocular muscles, binocular movement, accommodation and refraction

Non-billable headerNot valid on its own. Use one of the more specific codes under it.

H49.81 is a non-billable ICD-10-CM code header for kearns-Sayre syndrome. Report a more specific code from it instead. It is part of the FY2027 code set, effective October 1, 2026. The more specific codes under it are H49.811 Kearns-Sayre syndrome, right eye; H49.812 Kearns-Sayre syndrome, left eye; H49.813 Kearns-Sayre syndrome, bilateral and H49.819 Kearns-Sayre syndrome, unspecified eye. Its coding notes include a Code also instruction and 15 Excludes2 entries.

Code also

Two codes may be needed to describe the condition. This note gives no sequencing order.

This code
  • , if applicable, other manifestations, such as:

Excludes2

Not included here. Both codes may be reported if the patient has both conditions.

Inherited from H49 Paralytic strabismus
  • internal ophthalmoplegia (H52.51-)
  • internuclear ophthalmoplegia (H51.2-)
  • progressive supranuclear ophthalmoplegia (G23.1)
Also from chapter/block level (12 notes)
Inherited from H49–H52 Disorders of ocular muscles, binocular movement, accommodation and refraction
  • nystagmus and other irregular eye movements (H55)
Inherited from Chapter 7 Diseases of the eye and adnexa
  • 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)

Inclusion terms

Conditions classified to this code.

This code
  • Progressive external ophthalmoplegia with pigmentary retinopathy

Notes

Also from chapter/block level (1 note)
Inherited from Chapter 7 Diseases of the eye and adnexa
  • Use an external cause code following the code for the eye condition, if applicable, to identify the cause of the eye condition

Alphabetic Index terms

Terms the official Alphabetic Index lists for this code. 3 entries

More specific codes under H49.81 4