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H05.421 vs H05.422

H05.421 (Enophthalmos due to trauma or surgery, right eye) compared with H05.422 (Enophthalmos due to trauma or surgery, left eye), from the official CMS tabular data. H05.421 and H05.422 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

H05.421
Right
Enophthalmos due to trauma or surgery, right eye
H05.422
Left
Enophthalmos due to trauma or surgery, 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. H05.421 and H05.422 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

H05.421Enophthalmos due to trauma or surgery, right eyeH05.422Enophthalmos due to trauma or surgery, left eye
Billing statusBillableBillable
ClassificationH00-H59 — Diseases of the Eye and Adnexa (H00-H59)H00-H59 — Diseases of the Eye and Adnexa (H00-H59)
DefinitionEnophthalmos due to trauma or surgery, right eye is a billable ICD-10-CM diagnosis code (H05.421).Enophthalmos due to trauma or surgery, left eye is a billable ICD-10-CM diagnosis code (H05.422).

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