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H57.051 vs H57.059

H57.051 (Tonic pupil, right eye) compared with H57.059 (Tonic pupil, unspecified eye), from the official CMS tabular data. H57.051 and H57.059 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

H57.051
Right
Tonic pupil, right eye
H57.059
Unspecified
Tonic pupil, unspecified 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. H57.051 and H57.059 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

H57.051Tonic pupil, right eyeH57.059Tonic pupil, unspecified eye
Billing statusBillableBillable
ClassificationH00-H59 — Diseases of the Eye and Adnexa (H00-H59)H00-H59 — Diseases of the Eye and Adnexa (H00-H59)
DefinitionTonic pupil, right eye is a billable ICD-10-CM diagnosis code (H57.051).Tonic pupil, unspecified eye is a billable ICD-10-CM diagnosis code (H57.059).

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