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ICD-10-CM-2017 Diagnosis Codes Overview
ICD-10-CM-2017 > H00-H59 > H49-H52 > H49
H49-H52
Disorders of ocular muscles, binocular movement, accommodation and refraction
Excl2.:
nystagmus and other irregular eye movements (icd H55 Nystagmus and other irregular eye movementsH55)
H49

Paralytic strabismus

Excl2.:
internal ophthalmoplegia (icd H52.51 Internal ophthalmoplegia (complete) (total)H52.51-)
internuclear ophthalmoplegia (icd H51.2 Internuclear ophthalmoplegiaH51.2-)
progressive supranuclear ophthalmoplegia (icd G23.1 Progressive supranuclear ophthalmoplegia [Steele-Richardson-Olszewski]G23.1)
H49.0

Third [oculomotor] nerve palsy

H49.00
Third [oculomotor] nerve palsy, unspecified eye
H49.01
Third [oculomotor] nerve palsy, right eye
H49.02
Third [oculomotor] nerve palsy, left eye
H49.03
Third [oculomotor] nerve palsy, bilateral
H49.1

Fourth [trochlear] nerve palsy

H49.10
Fourth [trochlear] nerve palsy, unspecified eye
H49.11
Fourth [trochlear] nerve palsy, right eye
H49.12
Fourth [trochlear] nerve palsy, left eye
H49.13
Fourth [trochlear] nerve palsy, bilateral
H49.2

Sixth [abducent] nerve palsy

H49.20
Sixth [abducent] nerve palsy, unspecified eye
H49.21
Sixth [abducent] nerve palsy, right eye
H49.22
Sixth [abducent] nerve palsy, left eye
H49.23
Sixth [abducent] nerve palsy, bilateral
H49.3

Total (external) ophthalmoplegia

H49.30
Total (external) ophthalmoplegia, unspecified eye
H49.31
Total (external) ophthalmoplegia, right eye
H49.32
Total (external) ophthalmoplegia, left eye
H49.33
Total (external) ophthalmoplegia, bilateral
H49.4

Progressive external ophthalmoplegia

Excl1.:
Kearns-Sayre syndrome (icd H49.81 Kearns-Sayre syndromeH49.81-)
H49.40
Progressive external ophthalmoplegia, unspecified eye
H49.41
Progressive external ophthalmoplegia, right eye
H49.42
Progressive external ophthalmoplegia, left eye
H49.43
Progressive external ophthalmoplegia, bilateral
H49.8

Other paralytic strabismus

H49.81
Kearns-Sayre syndrome
Info:
Progressive external ophthalmoplegia with pigmentary retinopathy
Use add'l
code for other manifestation, such as:
heart block (icd I45.9 Conduction disorder, unspecifiedI45.9)
H49.811
Kearns-Sayre syndrome, right eye
H49.812
Kearns-Sayre syndrome, left eye
H49.813
Kearns-Sayre syndrome, bilateral
H49.819
Kearns-Sayre syndrome, unspecified eye
H49.88
Other paralytic strabismus
Info:
External ophthalmoplegia NOS
H49.881
Other paralytic strabismus, right eye
H49.882
Other paralytic strabismus, left eye
H49.883
Other paralytic strabismus, bilateral
H49.889
Other paralytic strabismus, unspecified eye
H49.9
Unspecified paralytic strabismus


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