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H50.0 vs H50.32

H50.0 (Esotropia) compared with H50.32 (Intermittent alternating esotropia), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. H50.0 carries an Excludes1 note covering H50.32: “intermittent esotropia (H50.31-, H50.32)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

H50.0EsotropiaH50.32Intermittent alternating esotropia
Billing statusNon-billable header

Report instead: H50.00, H50.011, H50.012, H50.021, H50.022

Billable
ClassificationH00-H59 — Diseases of the Eye and Adnexa (H00-H59)H00-H59 — Diseases of the Eye and Adnexa (H00-H59)
DefinitionEsotropia is a non-billable ICD-10-CM category code (H50.0).Intermittent alternating esotropia is a billable ICD-10-CM diagnosis code (H50.32).
Includes
Convergent concomitant strabismus

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