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H05.241 vs H05.242

H05.241 (Constant exophthalmos, right eye) compared with H05.242 (Constant exophthalmos, left eye), from the official CMS tabular data. H05.241 and H05.242 code the same condition on opposite sides. MedCoder-derived

Relationship

Review

Laterality relationship

H05.241
Right
Constant exophthalmos, right eye
H05.242
Left
Constant exophthalmos, left eye

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. H05.241 and H05.242 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

H05.241Constant exophthalmos, right eyeH05.242Constant exophthalmos, left eye
Billing statusBillableBillable
ClassificationH00-H59 — Diseases of the eye and adnexaH00-H59 — Diseases of the eye and adnexa
DefinitionConstant exophthalmos, right eye is a billable ICD-10-CM diagnosis code (H05.241).Constant exophthalmos, left eye is a billable ICD-10-CM diagnosis code (H05.242).

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