H59.03
Cystoid macular edema following cataract surgery
H59.03 is a non-billable ICD-10-CM code header for cystoid macular edema following cataract surgery. 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 H59.031 Cystoid macular edema following cataract surgery, right eye; H59.032 Cystoid macular edema following cataract surgery, left eye; H59.033 Cystoid macular edema following cataract surgery, bilateral and H59.039 Cystoid macular edema following cataract surgery, unspecified eye. Its coding notes include 4 Excludes1 entries and 11 Excludes2 entries.
Guidelines tip
From the FY2027 Official Guidelines. ICD10Ref adds no rules of its own.
Intraoperative and postprocedural complications are coded from the body system chapters unless the complication is specifically indexed to a T code.
Excludes1
Not coded here. The listed conditions generally should not be reported together.
Excludes2
Not included here. Both codes may be reported if the patient has both conditions.
Also from chapter/block level (11 notes)
- 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)
Notes
Also from chapter/block level (1 note)
- 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. 1 entry
More specific codes under H59.03 4
- H59.031Cystoid macular edema following cataract surgery, right eyeBillable
- H59.032Cystoid macular edema following cataract surgery, left eyeBillable
- H59.033Cystoid macular edema following cataract surgery, bilateralBillable
- H59.039Cystoid macular edema following cataract surgery, unspecified eyeBillable