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H05.221 vs H05.222

H05.221 (Edema of right orbit) compared with H05.222 (Edema of left orbit), from the official CMS tabular data. H05.221 and H05.222 code the same condition on opposite sides. MedCoder-derived

Relationship

Review

Laterality relationship

H05.221
Right
Edema of right orbit
H05.222
Left
Edema of left orbit

Same condition; these differ only in which side is documented.

These codes share a category and title and differ only in the side affected. The documentation decides which applies, and a bilateral code is reported only where the code set provides one.

Source: ICD-10-CM tabular list (laterality variant derived from the code title)

Can these codes be reported together?

Same condition, opposite side. H05.221 and H05.222 name the same condition on opposite sides of the body.

Same category and title, differing only in which side is affected — the documentation decides which one applies, and a bilateral code is reported only where the code set provides one.

Side by side

H05.221Edema of right orbitH05.222Edema of left orbit
Billing statusBillableBillable
ClassificationH00-H59 — Diseases of the eye and adnexaH00-H59 — Diseases of the eye and adnexa
DefinitionEdema of right orbit is a billable ICD-10-CM diagnosis code (H05.221).Edema of left orbit is a billable ICD-10-CM diagnosis code (H05.222).

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources