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H59.031 vs H59.032

H59.031 (Cystoid macular edema following cataract surgery, right eye) compared with H59.032 (Cystoid macular edema following cataract surgery, left eye), from the official CMS tabular data. H59.031 and H59.032 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

H59.031
Right
Cystoid macular edema following cataract surgery, right eye
H59.032
Left
Cystoid macular edema following cataract 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. H59.031 and H59.032 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

H59.031Cystoid macular edema following cataract surgery, right eyeH59.032Cystoid macular edema following cataract 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)
DefinitionCystoid macular edema following cataract surgery, right eye is a billable ICD-10-CM diagnosis code (H59.031).Cystoid macular edema following cataract surgery, left eye is a billable ICD-10-CM diagnosis code (H59.032).

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