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H59.211 vs H59.212

H59.211 (Accidental puncture and laceration of right eye and adnexa during an ophthalmic procedure) compared with H59.212 (Accidental puncture and laceration of left eye and adnexa during an ophthalmic procedure), from the official CMS tabular data. H59.211 and H59.212 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

H59.211
Right
Accidental puncture and laceration of right eye and adnexa during an ophthalmic procedure
H59.212
Left
Accidental puncture and laceration of left eye and adnexa during an ophthalmic procedure

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. H59.211 and H59.212 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

H59.211Accidental puncture and laceration of right eye and adnexa during an ophthalmic procedureH59.212Accidental puncture and laceration of left eye and adnexa during an ophthalmic procedure
Billing statusBillableBillable
ClassificationH00-H59 — Diseases of the Eye and Adnexa (H00-H59)H00-H59 — Diseases of the Eye and Adnexa (H00-H59)
DefinitionAccidental puncture and laceration of right eye and adnexa during an ophthalmic procedure is a billable ICD-10-CM diagnosis code (H59.211).Accidental puncture and laceration of left eye and adnexa during an ophthalmic procedure is a billable ICD-10-CM diagnosis code (H59.212).

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