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H59.341 vs Z96.1

H59.341 (Postprocedural hematoma of right eye and adnexa following other procedure) compared with Z96.1 (Presence of intraocular lens), 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. H59.341 carries an Excludes1 note covering Z96.1: “pseudophakia (Z96.1)”

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

H59.341Postprocedural hematoma of right eye and adnexa following other procedureZ96.1Presence of intraocular lens
Billing statusBillableBillable
ClassificationH00-H59 — Diseases of the Eye and Adnexa (H00-H59)Z00-Z99 — Factors Influencing Health Status and Contact with Health Services (Z00-Z99)
DefinitionPostprocedural hematoma of right eye and adnexa following other procedure is a billable ICD-10-CM diagnosis code (H59.341).Presence of intraocular lens is a billable ICD-10-CM diagnosis code (Z96.1).
Includes
Presence of pseudophakia

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