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H59.811 vs H59.819

H59.811 (Chorioretinal scars after surgery for detachment, right eye) compared with H59.819 (Chorioretinal scars after surgery for detachment, unspecified eye), from the official CMS tabular data. H59.811 and H59.819 code the same condition on opposite sides. MedCoder-derived

Relationship

Review

Laterality relationship

H59.811
Right
Chorioretinal scars after surgery for detachment, right eye
H59.819
Unspecified
Chorioretinal scars after surgery for detachment, 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. H59.811 and H59.819 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

H59.811Chorioretinal scars after surgery for detachment, right eyeH59.819Chorioretinal scars after surgery for detachment, unspecified eye
Billing statusBillableBillable
ClassificationH00-H59 — Diseases of the eye and adnexaH00-H59 — Diseases of the eye and adnexa
DefinitionChorioretinal scars after surgery for detachment, right eye is a billable ICD-10-CM diagnosis code (H59.811).Chorioretinal scars after surgery for detachment, unspecified eye is a billable ICD-10-CM diagnosis code (H59.819).

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