ICD-10-CM Diagnosis Code H57.9 - Unspecified disorder of eye and adnexa (original) (raw)
ICD List 2025-2026 Edition
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- 2026 ICD-10-CM Code H57.9
Unspecified disorder of eye and adnexa
ICD-10-CM Code:
H57.9
ICD-10 Code for:
Unspecified disorder of eye and adnexa
Is Billable?
Yes - Valid for Submission
Chronic Condition Indicator: [1]
Not chronic
Code Navigator:
H57.9 is a billable diagnosis code used to specify a medical diagnosis of unspecified disorder of eye and adnexa. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2025 through September 30, 2026.
This code describes a circumstance which influences the patient's health status but not a current illness or injury. The code is unacceptable as a principal diagnosis.
Unspecified diagnosis codes like H57.9 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.
- Code Information
- Approximate Synonyms
- Clinical Classification
- Tabular List of Diseases and Injuries
- Index to Diseases and Injuries References
- Code Edits
- Diagnostic Related Groups Mapping
- Convert to ICD-9 Code
- Patient Education
- Other Codes Used Similar Conditions
- Code History
- Diseases of the eye and adnexa
H00–H59
The following list of clinical terms are approximate synonyms, alternative descriptions, or common phrases that might be used by patients, healthcare providers, or medical coders to describe the same condition. These synonyms and related diagnosis terms are often used when searching for an ICD-10 code, especially when the exact medical terminology is unclear. Whether you're looking for lay terms, similar diagnosis names, or common language alternatives, this list can help guide you to the correct ICD-10 classification.
- Acute disease of eye
- Anomaly of eye
- Cataract due to inflammatory disorder
- Cataract due to inflammatory disorder
- Cataract due to inflammatory disorder
- Cataract due to ocular disease
- Cataract due to ocular disease
- Cataract of bilateral eyes due to inflammatory disorder
- Cataract of left eye due to inflammatory disorder
- Cataract of left eye due to inflammatory disorder
- Cataract of left eye due to ocular disease
- Cataract of right eye due to inflammatory disorder
- Cataract of right eye due to inflammatory disorder
- Cataract of right eye due to ocular disease
- Chronic disease of ocular adnexa
- Diffuse mesangial sclerosis
- Diffuse mesangial sclerosis with ocular abnormalities
- Disorder of anterior segment of eye
- Disorder of bilateral eyes
- Disorder of eye proper co-occurrent with human immunodeficiency virus infection
- Disorder of eye region
- Disorder of left eye region
- Disorder of ocular adnexa
- Disorder of posterior segment of eye
- Disorder of right eye region
- Eye not working properly
- Eye symptom
- Hereditary disorder of the visual system
- Immunoglobulin G4 related disease
- Immunoglobulin G4 related ophthalmic disease
- Lesion of eye
- Limited duction associated with other condition of eye
- Neonatal ophthalmologic disorder
- Ophthalmological treatment changed
- Ophthalmological treatment started
- Restrictive ophthalmopathy
- Thyroid eye disease
- Visual system complication of procedure
- Visual system disorder
Clinical Classifications group individual ICD-10-CM diagnosis codes into broader, clinically meaningful categories. These categories help simplify complex data by organizing related conditions under common clinical themes.
They are especially useful for data analysis, reporting, and clinical decision-making. Even when diagnosis codes differ, similar conditions can be grouped together based on their clinical relevance. Each category is assigned a unique CCSR code that represents a specific clinical concept, often tied to a body system or medical specialty.
CCSR Code: EYE012
Inpatient Default: X - Not applicable.
Outpatient Default: Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.
The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).
- - Complication (s) (from) (of)
- - eye - H57.9
- - Disease, diseased - See Also: Syndrome;
- - eye - H57.9
- - Disorder (of) - See Also: Disease;
- - eye - H57.9
References found for this diagnosis code in the External Cause of Injuries Index:
- Complication(s) (from) (of)
- eye
- Disease, diseased
- eye
- Disorder(of)
- eye
- Problem(with) (related to)
- eye
The Medicare Code Editor (MCE) detects errors and inconsistencies in ICD-10-CM diagnosis coding that can affect Medicare claim validity. These Medicare code edits help medical coders and billing professionals determine when a diagnosis code is not appropriate as a principal diagnosis, does not meet coverage criteria. Use this list to verify whether a code is valid for Medicare billing and to avoid claim rejections or denials due to diagnosis coding issues.
There are selected codes that describe a circumstance which influences an individual's health status but not a current illness or injury, or codes that are not specific manifestations but may be due to an underlying cause. These codes are considered unacceptable as a principal diagnosis.
Below are the ICD-9 codes that most closely match this ICD-10 code, based on the General Equivalence Mappings (GEMs). This ICD-10 to ICD-9 crosswalk tool is helpful for coders who need to reference legacy diagnosis codes for audits, historical claims, or approximate code comparisons.
ICD-9-CM: 379.40
Approximate Flag - The approximate mapping means this ICD-10 code does not have an exact ICD-9 equivalent. The matched code is the closest available option, but it may not fully capture the original diagnosis or clinical intent.
ICD-9-CM: 379.90
Approximate Flag - The approximate mapping means this ICD-10 code does not have an exact ICD-9 equivalent. The matched code is the closest available option, but it may not fully capture the original diagnosis or clinical intent.
ICD-9-CM: V41.1
Approximate Flag - The approximate mapping means this ICD-10 code does not have an exact ICD-9 equivalent. The matched code is the closest available option, but it may not fully capture the original diagnosis or clinical intent.
Eye Diseases
What diseases can affect the eye?
Even if your eyes feel healthy, you could have a problem and not know it. That's why regular eye exams are so important. Refractive errors are the most common type of vision problem that makes it hard to see clearly. But some eye conditions or diseases don't have any symptoms and can lead to a permanent loss of vision.
Some common eye diseases and conditions include:
- Cataracts, which happens when the clear lens in the front of your eye becomes cloudy. Cataracts are common as you get older and can lead to vision loss.
- Optic nerve disorders, which includes glaucoma. Glaucoma usually happens when the fluid pressure inside your eyes slowly rises.
- Retinal disorders, which are problems with the nerve layer at the back of your eye.
- Macular degeneration, which is a disease that destroys your sharp, central vision.
- Diabetic eye problems, which can cause vision loss and blindness.
- Conjunctivitis, which is an infection also known as pink eye. It can cause pink or red itchy eyes. Some types of pink eye can spread very easily.
What are the symptoms of eye diseases?
Some eye conditions and diseases do not always have symptoms. Early detection through a comprehensive dilated eye exam could help your eye care provider detect diseases in the early stages. Proper treatment could help slow or prevent vision loss.
Get regular eye exams and call your eye care professional right away if you notice any of these symptoms:
- A sudden change in vision
- Everything looks dim
- Flashes of light
- Eye pain
- Double vision
- Fluid coming from your eye
- Inflammation (swelling)
Who is more likely to develop eye diseases?
Getting older increases your risk of some eye diseases. Other things that may put you at a higher risk of some eye diseases can include if you:
- Are overweight or obese
- Have a family history of eye disease
- Are African American, Hispanic, or Native American
- Have certain health conditions such as Diabetic eye problems, or high blood pressure
What are the treatments for eye diseases?
Treatment may depend on the eye condition or disease but can include:
- A new prescription for eyeglasses or contacts
- Use of bright lights or magnifying lenses for reading and other activities
- Medicines
- Prescription eye drops or ointments
- Laser treatment
- Surgery
Depending on your eye condition or disease, treatment may slow vision loss but may not restore vision. Talk to your provider about what treatment is best for you.
Can eye diseases be prevented?
Your best defense is to have regular checkups. Be sure to tell your provider if any eye diseases run in your family.
You can also help take care of your vision by making lifestyle changes to lower your risk of health conditions that can cause vision problems. This could include by:
- Protecting your eyes from the sun
- Wearing protective eyewear while using tools or playing certain sports
- Getting regular physical activity
- Staying at a healthy weight
- Quitting smoking (or not starting)
- Eating a healthy diet
NIH: National Eye Institute
FY 2026 - No Change, effective from 10/1/2025 through 9/30/2026
FY 2025 - No Change, effective from 10/1/2024 through 9/30/2025
FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.
