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ICD-10/H59.342

H59.342 ICD-10-CM Code: Postprocedural hematoma of left eye and adnexa following other procedure

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Inpatient Payment Groups (MS-DRG)

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0, Appendix B.

  • MS-DRG 919 — COMPLICATIONS OF TREATMENT WITH MCC (MDC 21)
  • MS-DRG 920 — COMPLICATIONS OF TREATMENT WITH CC (MDC 21)
  • MS-DRG 921 — COMPLICATIONS OF TREATMENT WITHOUT CC/MCC (MDC 21)

A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.

Official Registry Overview & Definition

Postprocedural hematoma of left eye and adnexa following other procedure is a billable ICD-10-CM diagnosis code (H59.342).

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for H59.342 in the official ICD-10-CM tabular list.

Excludes1 — Not Coded Here

Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Change history

  • FY2017 — 2016-10-01
    Added to the code set
    Postprocedural hematoma of left eye and adnexa following other procedure
    FY2017 changes

Verify Before Coding

  • CC as a secondary diagnosis (FY2026). Can raise the stay's MS-DRG severity tier.

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim.

Contextual Map

Every relationship of H59.342 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Hierarchy

  • H00-H59 — Chapter 7: Diseases of the Eye and Adnexa (H00-H59) (H00-H59) [Hierarchy]
  • H59-H59 — Intraoperative and postprocedural complications and disorders of eye and adnexa, not elsewhere classified [Hierarchy]

Referenced by Excludes2 notes (20)

  • T80 — Complications following infusion, transfusion and therapeutic injection [Excludes2](via H59.-): “intraoperative and postprocedural complications of specified body systems (D78.-, E36.-, E89.-, G97.3-, G97.4, H59.3-, H59.-, H95.2-, H95.3, I97.4-, I97.5, J95.6-, J95.7, K91.6-, L76.-, M96.-, N99.-)” · check together
  • T80 — Complications following infusion, transfusion and therapeutic injection [Excludes2](via H59.3.-): “intraoperative and postprocedural complications of specified body systems (D78.-, E36.-, E89.-, G97.3-, G97.4, H59.3-, H59.-, H95.2-, H95.3, I97.4-, I97.5, J95.6-, J95.7, K91.6-, L76.-, M96.-, N99.-)” · check together
  • T80-T88 — Complications of surgical and medical care, not elsewhere classified (T80-T88) [Excludes2](via H59.-): “intraoperative and postprocedural complications of specified body systems (D78.-, E36.-, E89.-, G97.3-, G97.4, H59.3-, H59.-, H95.2-, H95.3, I97.4-, I97.5, J95.6-, J95.7, K91.6-, L76.-, M96.-, N99.-)” · check together
  • T80-T88 — Complications of surgical and medical care, not elsewhere classified (T80-T88) [Excludes2](via H59.3.-): “intraoperative and postprocedural complications of specified body systems (D78.-, E36.-, E89.-, G97.3-, G97.4, H59.3-, H59.-, H95.2-, H95.3, I97.4-, I97.5, J95.6-, J95.7, K91.6-, L76.-, M96.-, N99.-)” · check together
  • T81 — Complications of procedures, not elsewhere classified [Excludes2](via H59.-): “intraoperative and postprocedural complications of specific body system (D78.-, E36.-, E89.-, G97.3-, G97.4, H59.3-, H59.-, H95.2-, H95.3, I97.4-, I97.5, J95, K91.-, L76.-, M96.-, N99.-)” · check together
  • T81 — Complications of procedures, not elsewhere classified [Excludes2](via H59.3.-): “intraoperative and postprocedural complications of specific body system (D78.-, E36.-, E89.-, G97.3-, G97.4, H59.3-, H59.-, H95.2-, H95.3, I97.4-, I97.5, J95, K91.-, L76.-, M96.-, N99.-)” · check together
  • T82 — Complications of cardiac and vascular prosthetic devices, implants and grafts [Excludes2](via H59.-): “intraoperative and postprocedural complications of specified body systems (D78.-, E36.-, E89.-, G97.3-, G97.4, H59.3-, H59.-, H95.2-, H95.3, I97.4-, I97.5, J95.6-, J95.7, K91.6-, L76.-, M96.-, N99.-)” · check together
  • T82 — Complications of cardiac and vascular prosthetic devices, implants and grafts [Excludes2](via H59.3.-): “intraoperative and postprocedural complications of specified body systems (D78.-, E36.-, E89.-, G97.3-, G97.4, H59.3-, H59.-, H95.2-, H95.3, I97.4-, I97.5, J95.6-, J95.7, K91.6-, L76.-, M96.-, N99.-)” · check together
  • and 12 more

Clinical classification (CCSR)

  • EYE011 — Postprocedural or postoperative eye complication [CCSR]

Potential MS-DRG

  • CC — Complication or Comorbidity [MS-DRG severity]: “As a secondary diagnosis this code can raise the stay's MS-DRG severity tier (CC).”
  • DRG 919 — COMPLICATIONS OF TREATMENT WITH MCC [MS-DRG]: “COMPLICATIONS OF TREATMENT WITH MCC (MDC 21)”
  • DRG 920 — COMPLICATIONS OF TREATMENT WITH CC [MS-DRG]: “COMPLICATIONS OF TREATMENT WITH CC (MDC 21)”
  • DRG 921 — COMPLICATIONS OF TREATMENT WITHOUT CC/MCC [MS-DRG]: “COMPLICATIONS OF TREATMENT WITHOUT CC/MCC (MDC 21)”

MDC crossing · procedures (32029)

  • MDC 21 — Injuries, Poisonings and Toxic Effects of Drugs [MDC crossing]: “Injuries, Poisonings and Toxic Effects of Drugs — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”
  • 0016070 — Bypass Cerebral Ventricle to Nasopharynx with Autologous Tissue Substitute, Open Approach [Same-MDC procedure]: “Bypass Cerebral Ventricle to Nasopharynx with Autologous Tissue Substitute, Open Approach — grouped in MDC 21, the procedure side of this code's crossing.” · check together
  • 0016071 — Bypass Cerebral Ventricle to Mastoid Sinus with Autologous Tissue Substitute, Open Approach [Same-MDC procedure]: “Bypass Cerebral Ventricle to Mastoid Sinus with Autologous Tissue Substitute, Open Approach — grouped in MDC 21, the procedure side of this code's crossing.” · check together
  • 0016072 — Bypass Cerebral Ventricle to Atrium with Autologous Tissue Substitute, Open Approach [Same-MDC procedure]: “Bypass Cerebral Ventricle to Atrium with Autologous Tissue Substitute, Open Approach — grouped in MDC 21, the procedure side of this code's crossing.” · check together
  • 0016073 — Bypass Cerebral Ventricle to Blood Vessel with Autologous Tissue Substitute, Open Approach [Same-MDC procedure]: “Bypass Cerebral Ventricle to Blood Vessel with Autologous Tissue Substitute, Open Approach — grouped in MDC 21, the procedure side of this code's crossing.” · check together
  • 0016074 — Bypass Cerebral Ventricle to Pleural Cavity with Autologous Tissue Substitute, Open Approach [Same-MDC procedure]: “Bypass Cerebral Ventricle to Pleural Cavity with Autologous Tissue Substitute, Open Approach — grouped in MDC 21, the procedure side of this code's crossing.” · check together
  • and 32024 more

Nearest codes (40)

  • H59 — Intraoperative and postprocedural complications and disorders of eye and adnexa, not elsewhere classified [Sibling]
  • H59.223 — Accidental puncture and laceration of eye and adnexa during other procedure, bilateral [Sibling]
  • H59.229 — Accidental puncture and laceration of unspecified eye and adnexa during other procedure [Sibling]
  • H59.3 — Postprocedural hemorrhage, hematoma, and seroma of eye and adnexa following a procedure [Sibling]
  • H59.31 — Postprocedural hemorrhage of eye and adnexa following an ophthalmic procedure [Sibling]
  • H59.311 — Postprocedural hemorrhage of right eye and adnexa following an ophthalmic procedure [Sibling]
  • H59.312 — Postprocedural hemorrhage of left eye and adnexa following an ophthalmic procedure [Sibling]
  • H59.313 — Postprocedural hemorrhage of eye and adnexa following an ophthalmic procedure, bilateral [Sibling]
  • and 32 more

Change history

  • FY2017 — Added to the code set [Change history]

Referenced by Other Codes

Clinical classification (AHRQ CCSR):EYE011 — Postprocedural or postoperative eye complication (default).

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

Potential MS-DRG Relationships (FY2026)

CC — Complication or Comorbidity. Reported as a secondary diagnosis, this code raises the stay's MS-DRG severity tier — except when the principal diagnosis is one of 118 clinically related codes on its CMS exclusion list.

Named in the grouper logic of 3 MS-DRGs: DRG 919 (MDC 21), DRG 920 (MDC 21), DRG 921 (MDC 21).

From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.

Official ICD-10-CM tabular notes on other codes that name H59.342 or its code family.

20 Excludes2 notes: T80 (via H59.-), T80 (via H59.3.-), T80-T88 (via H59.-), T80-T88 (via H59.3.-), T81 (via H59.-), T81 (via H59.3.-), T82 (via H59.-), T82 (via H59.3.-), T83 (via H59.3.-), T83 (via H59.-) and 10 more.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to H59.342 in its code family, with their registry titles.

  • H59.332 — Postprocedural hematoma of left eye and adnexa following an ophthalmic procedure
  • H59.333 — Postprocedural hematoma of eye and adnexa following an ophthalmic procedure, bilateral
  • H59.339 — Postprocedural hematoma of unspecified eye and adnexa following an ophthalmic procedure
  • H59.34 — Postprocedural hematoma of eye and adnexa following other procedure
  • H59.341 — Postprocedural hematoma of right eye and adnexa following other procedure
  • H59.343 — Postprocedural hematoma of eye and adnexa following other procedure, bilateral
  • H59.349 — Postprocedural hematoma of unspecified eye and adnexa following other procedure
  • H59.35 — Postprocedural seroma of eye and adnexa following an ophthalmic procedure
  • H59.351 — Postprocedural seroma of right eye and adnexa following an ophthalmic procedure
  • H59.352 — Postprocedural seroma of left eye and adnexa following an ophthalmic procedure

View all codes in the H59 family