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H59.36 ICD-10-CM Code: Postprocedural seroma of eye and adnexa following other procedure

Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.

Code Overview

Postprocedural seroma of eye and adnexa following other procedure is a non-billable ICD-10-CM category code (H59.36). A more specific billable subcode must be selected for claims submission.

Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for H59.36 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).

Frequently Compared Codes

The official Excludes notes on H59.36 name these codes. Each comparison page covers when the two can — or must not — be reported together.

Change history

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

Verify Before Coding

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

Relationships & Classification

Other codes that name H59.36 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.

Referenced by 20 Excludes2 notes: T80 — Complications following infusion, transfusion and therapeutic injection (via H59.-), T80 — Complications following infusion, transfusion and therapeutic injection (via H59.3.-), T80-T88 — Complications of surgical and medical care, not elsewhere classified (T80-T88) (via H59.-), T80-T88 — Complications of surgical and medical care, not elsewhere classified (T80-T88) (via H59.3.-), T81 — Complications of procedures, not elsewhere classified (via H59.-), T81 — Complications of procedures, not elsewhere classified (via H59.3.-), T82 — Complications of cardiac and vascular prosthetic devices, implants and grafts (via H59.-), T82 — Complications of cardiac and vascular prosthetic devices, implants and grafts (via H59.3.-), T83 — Complications of genitourinary prosthetic devices, implants and grafts (via H59.3.-), T83 — Complications of genitourinary prosthetic devices, implants and grafts (via H59.-), T84 — Complications of internal orthopedic prosthetic devices, implants and grafts (via H59.3.-), T84 — Complications of internal orthopedic prosthetic devices, implants and grafts (via H59.-), T85 — Complications of other internal prosthetic devices, implants and grafts (via H59.3.-), T85 — Complications of other internal prosthetic devices, implants and grafts (via H59.-), T86 — Complications of transplanted organs and tissue (via H59.-), T86 — Complications of transplanted organs and tissue (via H59.3.-), T87 — Complications peculiar to reattachment and amputation (via H59.-), T87 — Complications peculiar to reattachment and amputation (via H59.3.-), T88 — Other complications of surgical and medical care, not elsewhere classified (via H59.-), T88 — Other complications of surgical and medical care, not elsewhere classified (via H59.3.-).

These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.

Contextual Map

Every relationship of H59.36 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

Nearest codes (40)

  • H59 — Intraoperative and postprocedural complications and disorders of eye and adnexa, not elsewhere classified [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]
  • H59.319 — Postprocedural hemorrhage of unspecified eye and adnexa following an ophthalmic procedure [Sibling]
  • H59.32 — Postprocedural hemorrhage of eye and adnexa following other procedure [Sibling]
  • H59.321 — Postprocedural hemorrhage of right eye and adnexa following other procedure [Sibling]
  • H59.322 — Postprocedural hemorrhage of left eye and adnexa following other procedure [Sibling]
  • H59.323 — Postprocedural hemorrhage of eye and adnexa following other procedure, bilateral [Sibling]
  • and 32 more

Change history

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

Frequently Asked Questions (FAQ) & Clinical Guidance

Can H59.36 be billed directly?

No. H59.36 (Postprocedural seroma of eye and adnexa following other procedure) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to H59.36 in its code family, with their registry titles.

  • 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
  • H59.353 — Postprocedural seroma of eye and adnexa following an ophthalmic procedure, bilateral
  • H59.359 — Postprocedural seroma of unspecified eye and adnexa following an ophthalmic procedure
  • H59.361 — Postprocedural seroma of right eye and adnexa following other procedure
  • H59.362 — Postprocedural seroma of left eye and adnexa following other procedure
  • H59.363 — Postprocedural seroma of eye and adnexa following other procedure, bilateral
  • H59.369 — Postprocedural seroma of unspecified eye and adnexa following other procedure
  • H59.4 — Inflammation (infection) of postprocedural bleb

View all codes in the H59 family