Category · FY2027
H05 Disorders of orbit
- Header · not billable
H05 is not billable. The category heads 102 billable codes in FY2027, grouped under 8 subdivisions.
Index → code
Where it sits
- Billable codes
- 102
- Subdivisions
- 8
- CC / MCC codes
- 12 / 0
- HCC V28 codes
- 0
- New FY2027
- 0
- Index entries
- 40
Codes in H05
- H05.0Acute inflammation of orbitHeader
- H05.00Unspecified acute inflammation of orbitBillable
- H05.01Cellulitis of orbitHeader
Inclusion terms 1
Inclusion terms
- Abscess of orbit
- H05.011Cellulitis of right orbitBillableCC
- H05.012Cellulitis of left orbitBillableCC
- H05.013Cellulitis of bilateral orbitsBillableCC
- H05.019Cellulitis of unspecified orbitBillableCC
- H05.02Osteomyelitis of orbitHeader
- H05.021Osteomyelitis of right orbitBillableCC
- H05.022Osteomyelitis of left orbitBillableCC
- H05.023Osteomyelitis of bilateral orbitsBillableCC
- H05.029Osteomyelitis of unspecified orbitBillableCC
- H05.03Periostitis of orbitHeader
- H05.031Periostitis of right orbitBillableCC
- H05.032Periostitis of left orbitBillableCC
- H05.033Periostitis of bilateral orbitsBillableCC
- H05.039Periostitis of unspecified orbitBillableCC
- H05.04Tenonitis of orbitHeader
- H05.041Tenonitis of right orbitBillable
- H05.042Tenonitis of left orbitBillable
- H05.043Tenonitis of bilateral orbitsBillable
- H05.049Tenonitis of unspecified orbitBillable
- H05.1Chronic inflammatory disorders of orbitHeader
- H05.10Unspecified chronic inflammatory disorders of orbitBillable
- H05.11Granuloma of orbitHeader
Inclusion terms 1
Inclusion terms
- Pseudotumor (inflammatory) of orbit
- H05.111Granuloma of right orbitBillable
- H05.112Granuloma of left orbitBillable
- H05.113Granuloma of bilateral orbitsBillable
- H05.119Granuloma of unspecified orbitBillable
- H05.12Orbital myositisHeader
- H05.121Orbital myositis, right orbitBillable
- H05.122Orbital myositis, left orbitBillable
- H05.123Orbital myositis, bilateralBillable
- H05.129Orbital myositis, unspecified orbitBillable
- H05.2Exophthalmic conditionsHeader
- H05.20Unspecified exophthalmosBillable
- H05.21Displacement (lateral) of globeHeader
- H05.211Displacement (lateral) of globe, right eyeBillable
- H05.212Displacement (lateral) of globe, left eyeBillable
- H05.213Displacement (lateral) of globe, bilateralBillable
- H05.219Displacement (lateral) of globe, unspecified eyeBillable
- H05.22Edema of orbitHeader
Inclusion terms 1
Inclusion terms
- Orbital congestion
- H05.221Edema of right orbitBillable
- H05.222Edema of left orbitBillable
- H05.223Edema of bilateral orbitBillable
- H05.229Edema of unspecified orbitBillable
- H05.23Hemorrhage of orbitHeader
- H05.231Hemorrhage of right orbitBillable
- H05.232Hemorrhage of left orbitBillable
- H05.233Hemorrhage of bilateral orbitBillable
- H05.239Hemorrhage of unspecified orbitBillable
- H05.24Constant exophthalmosHeader
- H05.241Constant exophthalmos, right eyeBillable
- H05.242Constant exophthalmos, left eyeBillable
- H05.243Constant exophthalmos, bilateralBillable
- H05.249Constant exophthalmos, unspecified eyeBillable
- H05.25Intermittent exophthalmosHeader
- H05.251Intermittent exophthalmos, right eyeBillable
- H05.252Intermittent exophthalmos, left eyeBillable
- H05.253Intermittent exophthalmos, bilateralBillable
- H05.259Intermittent exophthalmos, unspecified eyeBillable
- H05.26Pulsating exophthalmosHeader
- H05.261Pulsating exophthalmos, right eyeBillable
- H05.262Pulsating exophthalmos, left eyeBillable
- H05.263Pulsating exophthalmos, bilateralBillable
- H05.269Pulsating exophthalmos, unspecified eyeBillable
- H05.3
- H05.30Unspecified deformity of orbitBillable
- H05.31Atrophy of orbitHeader
- H05.311Atrophy of right orbitBillable
- H05.312Atrophy of left orbitBillable
- H05.313Atrophy of bilateral orbitBillable
- H05.319Atrophy of unspecified orbitBillable
- H05.32Deformity of orbit due to bone diseaseHeader
Code also 1
Code also
- associated bone disease
- H05.321Deformity of right orbit due to bone diseaseBillable
- H05.322Deformity of left orbit due to bone diseaseBillable
- H05.323Deformity of bilateral orbits due to bone diseaseBillable
- H05.329Deformity of unspecified orbit due to bone diseaseBillable
- H05.33Deformity of orbit due to trauma or surgeryHeader
- H05.331Deformity of right orbit due to trauma or surgeryBillable
- H05.332Deformity of left orbit due to trauma or surgeryBillable
- H05.333Deformity of bilateral orbits due to trauma or surgeryBillable
- H05.339Deformity of unspecified orbit due to trauma or surgeryBillable
- H05.34Enlargement of orbitHeader
- H05.341Enlargement of right orbitBillable
- H05.342Enlargement of left orbitBillable
- H05.343Enlargement of bilateral orbitsBillable
- H05.349Enlargement of unspecified orbitBillable
- H05.35Exostosis of orbitHeader
- H05.351Exostosis of right orbitBillable
- H05.352Exostosis of left orbitBillable
- H05.353Exostosis of bilateral orbitsBillable
- H05.359Exostosis of unspecified orbitBillable
- H05.4EnophthalmosHeader
- H05.40Unspecified enophthalmosHeader
- H05.401Unspecified enophthalmos, right eyeBillable
- H05.402Unspecified enophthalmos, left eyeBillable
- H05.403Unspecified enophthalmos, bilateralBillable
- H05.409Unspecified enophthalmos, unspecified eyeBillable
- H05.41Enophthalmos due to atrophy of orbital tissueHeader
- H05.411Enophthalmos due to atrophy of orbital tissue, right eyeBillable
- H05.412Enophthalmos due to atrophy of orbital tissue, left eyeBillable
- H05.413Enophthalmos due to atrophy of orbital tissue, bilateralBillable
- H05.419Enophthalmos due to atrophy of orbital tissue, unspecified eyeBillable
- H05.42Enophthalmos due to trauma or surgeryHeader
- H05.421Enophthalmos due to trauma or surgery, right eyeBillable
- H05.422Enophthalmos due to trauma or surgery, left eyeBillable
- H05.423Enophthalmos due to trauma or surgery, bilateralBillable
- H05.429Enophthalmos due to trauma or surgery, unspecified eyeBillable
- H05.5Retained (old) foreign body following penetrating wound of orbitHeader
Inclusion terms 1, Excludes1 1, Excludes2 2, Use additional code 1
- H05.50Retained (old) foreign body following penetrating wound of unspecified orbitBillable
- H05.51Retained (old) foreign body following penetrating wound of right orbitBillable
- H05.52Retained (old) foreign body following penetrating wound of left orbitBillable
- H05.53Retained (old) foreign body following penetrating wound of bilateral orbitsBillable
- H05.8Other disorders of orbitHeader
- H05.81Cyst of orbitHeader
Inclusion terms 1
Inclusion terms
- Encephalocele of orbit
- H05.811Cyst of right orbitBillable
- H05.812Cyst of left orbitBillable
- H05.813Cyst of bilateral orbitsBillable
- H05.819Cyst of unspecified orbitBillable
- H05.82Myopathy of extraocular musclesHeader
- H05.821Myopathy of extraocular muscles, right orbitBillable
- H05.822Myopathy of extraocular muscles, left orbitBillable
- H05.823Myopathy of extraocular muscles, bilateralBillable
- H05.829Myopathy of extraocular muscles, unspecified orbitBillable
- H05.83
- H05.831Thyroid orbitopathy, right orbitBillable
- H05.832Thyroid orbitopathy, left orbitBillable
- H05.833Thyroid orbitopathy, bilateralBillable
- H05.839Thyroid orbitopathy, unspecified orbitBillable
- H05.89Other disorders of orbitBillable
- H05.9Unspecified disorder of orbitBillable
CC/MCC: as a secondary diagnosis, unless the principal diagnosis is on the code’s PDX exclusion list (MS-DRG v44 Appendix C; list on the code card).
Instructions
At H05
Excludes1
- congenital malformation of orbit (Q10.7) Q10.7
Notes that also apply
Block H00-H05 instructions (Excludes2 2): printed on the block page.
Chapter 7 instructions (Notes 1, Excludes2 11): printed on the chapter 7 page.
Index entries
- Exophthalmos → H05.2-
- Enophthalmos → H05.40-
- Ophthalmopathy, Graves' → H05.83-
- Orbitopathy (Graves') (thyroid) → H05.83-
- Cellulitis (diffuse) (phlegmonous) (septic) (suppurative)›orbit, orbital → H05.01-
- Osteomyelitis (general) (infective) (localized) (neonatal) (purulent) (septic) (staphylococcal) (streptococcal) (suppurative) (with periostitis)›orbit → H05.02-
- Periostitis (albuminosa) (circumscribed) (diffuse) (infective) (monomelic)›orbit → H05.03-
- Tenonitis›eye (capsule) → H05.04-
- Inflammation, inflamed, inflammatory (with exudation)›orbit (chronic) → H05.10
- Granuloma›orbit, orbital → H05.11-
- Pseudotumor›orbital → H05.11-
- Myositis›orbital, chronic → H05.12-
- Displacement, displaced›globe (acquired) (old) (lateral) → H05.21-
- Edema, edematous (infectious) (pitting) (toxic)›orbit → H05.22-
- Hemorrhage, hemorrhagic (concealed)›orbit, orbital → H05.23-
- Exophthalmos›constant NEC → H05.24-
- Exophthalmos›intermittent NEC → H05.25-
- Exophthalmos›pulsating NEC → H05.26-
- Deformity›orbit (eye) (acquired) → H05.30
- Atrophy, atrophic (of)›orbit → H05.31-
- Enlargement, enlarged›orbit → H05.34-
- Exostosis›orbit → H05.35-
- Cyst (colloid) (mucous) (simple) (retention)›orbit → H05.81-
- Myopathy›extraocular muscles → H05.82-
- Disorder (of)›orbit → H05.9
- Inflammation, inflamed, inflammatory (with exudation)›orbit (chronic)›acute → H05.00
- Osteomyelitis (general) (infective) (localized) (neonatal) (purulent) (septic) (staphylococcal) (streptococcal) (suppurative) (with periostitis)›acute›orbit → H05.02-
- Osteomyelitis (general) (infective) (localized) (neonatal) (purulent) (septic) (staphylococcal) (streptococcal) (suppurative) (with periostitis)›chronic (or old)›orbit → H05.02-
- Osteomyelitis (general) (infective) (localized) (neonatal) (purulent) (septic) (staphylococcal) (streptococcal) (suppurative) (with periostitis)›specified type NEC›orbit → H05.02-
- Osteomyelitis (general) (infective) (localized) (neonatal) (purulent) (septic) (staphylococcal) (streptococcal) (suppurative) (with periostitis)›subacute›orbit → H05.02-
- Enophthalmos›due to›orbital tissue atrophy → H05.41-
- Enophthalmos›due to›trauma or surgery → H05.42-
- Foreign body›orbit›old, retained → H05.5-
- Disease, diseased›eye›thyroid → H05.83-
- Disorder (of)›orbit›specified type NEC → H05.89
- Osteomyelitis (general) (infective) (localized) (neonatal) (purulent) (septic) (staphylococcal) (streptococcal) (suppurative) (with periostitis)›acute›hematogenous›orbit → H05.02-
- Osteomyelitis (general) (infective) (localized) (neonatal) (purulent) (septic) (staphylococcal) (streptococcal) (suppurative) (with periostitis)›chronic (or old)›with draining sinus›orbit → H05.02-
- Osteomyelitis (general) (infective) (localized) (neonatal) (purulent) (septic) (staphylococcal) (streptococcal) (suppurative) (with periostitis)›chronic (or old)›hematogenous NEC›orbit → H05.02-
- Deformity›orbit (eye) (acquired)›due to›bone disease NEC → H05.32-
- Deformity›orbit (eye) (acquired)›due to›trauma or surgery → H05.33-
NCHS Alphabetic Index. Index first, then the Tabular List.