ICD-10-CM/PCS MS-DRG v40.0 Definitions Manual
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DRAFT
ICD-10-CM/PCS MS-DRG v40.0 Definitions Manual |
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| MDC 02 Diseases and disorders of the eye |
| Assignment of Diagnosis Codes |
| Page 7 of 8 |
| A1850 E133521 H04141 H15821 H21322 H35019 H4063X0 H53031 |
| H4063X0 | Glaucoma secondary to drugs, bilateral, stage unspecified |
| H4063X1 | Glaucoma secondary to drugs, bilateral, mild stage |
| H4063X2 | Glaucoma secondary to drugs, bilateral, moderate stage |
| H4063X3 | Glaucoma secondary to drugs, bilateral, severe stage |
| H4063X4 | Glaucoma secondary to drugs, bilateral, indeterminate stage |
| H40811 | Glaucoma with increased episcleral venous pressure, right eye |
| H40812 | Glaucoma with increased episcleral venous pressure, left eye |
| H40813 | Glaucoma with increased episcleral venous pressure, bilateral |
| H40819 | Glaucoma with increased episcleral venous pressure, unspecified eye |
| H40821 | Hypersecretion glaucoma, right eye |
| H40822 | Hypersecretion glaucoma, left eye |
| H40823 | Hypersecretion glaucoma, bilateral |
| H40829 | Hypersecretion glaucoma, unspecified eye |
| H40831 | Aqueous misdirection, right eye |
| H40832 | Aqueous misdirection, left eye |
| H40833 | Aqueous misdirection, bilateral |
| H40839 | Aqueous misdirection, unspecified eye |
| H4089 | Other specified glaucoma |
| H409 | Unspecified glaucoma |
| H42 | Glaucoma in diseases classified elsewhere |
| H4300 | Vitreous prolapse, unspecified eye |
| H4301 | Vitreous prolapse, right eye |
| H4302 | Vitreous prolapse, left eye |
| H4303 | Vitreous prolapse, bilateral |
| H4310 | Vitreous hemorrhage, unspecified eye |
| H4311 | Vitreous hemorrhage, right eye |
| H4312 | Vitreous hemorrhage, left eye |
| H4313 | Vitreous hemorrhage, bilateral |
| H4320 | Crystalline deposits in vitreous body, unspecified eye |
| H4321 | Crystalline deposits in vitreous body, right eye |
| H4322 | Crystalline deposits in vitreous body, left eye |
| H4323 | Crystalline deposits in vitreous body, bilateral |
| H43311 | Vitreous membranes and strands, right eye |
| H43312 | Vitreous membranes and strands, left eye |
| H43313 | Vitreous membranes and strands, bilateral |
| H43319 | Vitreous membranes and strands, unspecified eye |
| H43391 | Other vitreous opacities, right eye |
| H43392 | Other vitreous opacities, left eye |
| H43393 | Other vitreous opacities, bilateral |
| H43399 | Other vitreous opacities, unspecified eye |
| H43811 | Vitreous degeneration, right eye |
| H43812 | Vitreous degeneration, left eye |
| H43813 | Vitreous degeneration, bilateral |
| H43819 | Vitreous degeneration, unspecified eye |
| H43821 | Vitreomacular adhesion, right eye |
| H43822 | Vitreomacular adhesion, left eye |
| H43823 | Vitreomacular adhesion, bilateral |
| H43829 | Vitreomacular adhesion, unspecified eye |
| H4389 | Other disorders of vitreous body |
| H439 | Unspecified disorder of vitreous body |
| H44001 | Unspecified purulent endophthalmitis, right eye |
| H44002 | Unspecified purulent endophthalmitis, left eye |
| H44003 | Unspecified purulent endophthalmitis, bilateral |
| H44009 | Unspecified purulent endophthalmitis, unspecified eye |
| H44011 | Panophthalmitis (acute), right eye |
| H44012 | Panophthalmitis (acute), left eye |
| H44013 | Panophthalmitis (acute), bilateral |
| H44019 | Panophthalmitis (acute), unspecified eye |
| H44021 | Vitreous abscess (chronic), right eye |
| H44022 | Vitreous abscess (chronic), left eye |
| H44023 | Vitreous abscess (chronic), bilateral |
| H44029 | Vitreous abscess (chronic), unspecified eye |
| H44111 | Panuveitis, right eye |
| H44112 | Panuveitis, left eye |
| H44113 | Panuveitis, bilateral |
| H44119 | Panuveitis, unspecified eye |
| H44121 | Parasitic endophthalmitis, unspecified, right eye |
| H44122 | Parasitic endophthalmitis, unspecified, left eye |
| H44123 | Parasitic endophthalmitis, unspecified, bilateral |
| H44129 | Parasitic endophthalmitis, unspecified, unspecified eye |
| H44131 | Sympathetic uveitis, right eye |
| H44132 | Sympathetic uveitis, left eye |
| H44133 | Sympathetic uveitis, bilateral |
| H44139 | Sympathetic uveitis, unspecified eye |
| H4419 | Other endophthalmitis |
| H4420 | Degenerative myopia, unspecified eye |
| H4421 | Degenerative myopia, right eye |
| H4422 | Degenerative myopia, left eye |
| H4423 | Degenerative myopia, bilateral |
| H442A1 | Degenerative myopia with choroidal neovascularization, right eye |
| H442A2 | Degenerative myopia with choroidal neovascularization, left eye |
| H442A3 | Degenerative myopia with choroidal neovascularization, bilateral eye |
| H442A9 | Degenerative myopia with choroidal neovascularization, unspecified eye |
| H442B1 | Degenerative myopia with macular hole, right eye |
| H442B2 | Degenerative myopia with macular hole, left eye |
| H442B3 | Degenerative myopia with macular hole, bilateral eye |
| H442B9 | Degenerative myopia with macular hole, unspecified eye |
| H442C1 | Degenerative myopia with retinal detachment, right eye |
| H442C2 | Degenerative myopia with retinal detachment, left eye |
| H442C3 | Degenerative myopia with retinal detachment, bilateral eye |
| H442C9 | Degenerative myopia with retinal detachment, unspecified eye |
| H442D1 | Degenerative myopia with foveoschisis, right eye |
| H442D2 | Degenerative myopia with foveoschisis, left eye |
| H442D3 | Degenerative myopia with foveoschisis, bilateral eye |
| H442D9 | Degenerative myopia with foveoschisis, unspecified eye |
| H442E1 | Degenerative myopia with other maculopathy, right eye |
| H442E2 | Degenerative myopia with other maculopathy, left eye |
| H442E3 | Degenerative myopia with other maculopathy, bilateral eye |
| H442E9 | Degenerative myopia with other maculopathy, unspecified eye |
| H4430 | Unspecified degenerative disorder of globe |
| H44311 | Chalcosis, right eye |
| H44312 | Chalcosis, left eye |
| H44313 | Chalcosis, bilateral |
| H44319 | Chalcosis, unspecified eye |
| H44321 | Siderosis of eye, right eye |
| H44322 | Siderosis of eye, left eye |
| H44323 | Siderosis of eye, bilateral |
| H44329 | Siderosis of eye, unspecified eye |
| H44391 | Other degenerative disorders of globe, right eye |
| H44392 | Other degenerative disorders of globe, left eye |
| H44393 | Other degenerative disorders of globe, bilateral |
| H44399 | Other degenerative disorders of globe, unspecified eye |
| H4440 | Unspecified hypotony of eye |
| H44411 | Flat anterior chamber hypotony of right eye |
| H44412 | Flat anterior chamber hypotony of left eye |
| H44413 | Flat anterior chamber hypotony of eye, bilateral |
| H44419 | Flat anterior chamber hypotony of unspecified eye |
| H44421 | Hypotony of right eye due to ocular fistula |
| H44422 | Hypotony of left eye due to ocular fistula |
| H44423 | Hypotony of eye due to ocular fistula, bilateral |
| H44429 | Hypotony of unspecified eye due to ocular fistula |
| H44431 | Hypotony of eye due to other ocular disorders, right eye |
| H44432 | Hypotony of eye due to other ocular disorders, left eye |
| H44433 | Hypotony of eye due to other ocular disorders, bilateral |
| H44439 | Hypotony of eye due to other ocular disorders, unspecified eye |
| H44441 | Primary hypotony of right eye |
| H44442 | Primary hypotony of left eye |
| H44443 | Primary hypotony of eye, bilateral |
| H44449 | Primary hypotony of unspecified eye |
| H4450 | Unspecified degenerated conditions of globe |
| H44511 | Absolute glaucoma, right eye |
| H44512 | Absolute glaucoma, left eye |
| H44513 | Absolute glaucoma, bilateral |
| H44519 | Absolute glaucoma, unspecified eye |
| H44521 | Atrophy of globe, right eye |
| H44522 | Atrophy of globe, left eye |
| H44523 | Atrophy of globe, bilateral |
| H44529 | Atrophy of globe, unspecified eye |
| H44531 | Leucocoria, right eye |
| H44532 | Leucocoria, left eye |
| H44533 | Leucocoria, bilateral |
| H44539 | Leucocoria, unspecified eye |
| H44601 | Unspecified retained (old) intraocular foreign body, magnetic, right eye |
| H44602 | Unspecified retained (old) intraocular foreign body, magnetic, left eye |
| H44603 | Unspecified retained (old) intraocular foreign body, magnetic, bilateral |
| H44609 | Unspecified retained (old) intraocular foreign body, magnetic, unspecified eye |
| H44611 | Retained (old) magnetic foreign body in anterior chamber, right eye |
| H44612 | Retained (old) magnetic foreign body in anterior chamber, left eye |
| H44613 | Retained (old) magnetic foreign body in anterior chamber, bilateral |
| H44619 | Retained (old) magnetic foreign body in anterior chamber, unspecified eye |
| H44621 | Retained (old) magnetic foreign body in iris or ciliary body, right eye |
| H44622 | Retained (old) magnetic foreign body in iris or ciliary body, left eye |
| H44623 | Retained (old) magnetic foreign body in iris or ciliary body, bilateral |
| H44629 | Retained (old) magnetic foreign body in iris or ciliary body, unspecified eye |
| H44631 | Retained (old) magnetic foreign body in lens, right eye |
| H44632 | Retained (old) magnetic foreign body in lens, left eye |
| H44633 | Retained (old) magnetic foreign body in lens, bilateral |
| H44639 | Retained (old) magnetic foreign body in lens, unspecified eye |
| H44641 | Retained (old) magnetic foreign body in posterior wall of globe, right eye |
| H44642 | Retained (old) magnetic foreign body in posterior wall of globe, left eye |
| H44643 | Retained (old) magnetic foreign body in posterior wall of globe, bilateral |
| H44649 | Retained (old) magnetic foreign body in posterior wall of globe, unspecified eye |
| H44651 | Retained (old) magnetic foreign body in vitreous body, right eye |
| H44652 | Retained (old) magnetic foreign body in vitreous body, left eye |
| H44653 | Retained (old) magnetic foreign body in vitreous body, bilateral |
| H44659 | Retained (old) magnetic foreign body in vitreous body, unspecified eye |
| H44691 | Retained (old) intraocular foreign body, magnetic, in other or multiple sites, right eye |
| H44692 | Retained (old) intraocular foreign body, magnetic, in other or multiple sites, left eye |
| H44693 | Retained (old) intraocular foreign body, magnetic, in other or multiple sites, bilateral |
| H44699 | Retained (old) intraocular foreign body, magnetic, in other or multiple sites, unspecified eye |
| H44701 | Unspecified retained (old) intraocular foreign body, nonmagnetic, right eye |
| H44702 | Unspecified retained (old) intraocular foreign body, nonmagnetic, left eye |
| H44703 | Unspecified retained (old) intraocular foreign body, nonmagnetic, bilateral |
| H44709 | Unspecified retained (old) intraocular foreign body, nonmagnetic, unspecified eye |
| H44711 | Retained (nonmagnetic) (old) foreign body in anterior chamber, right eye |
| H44712 | Retained (nonmagnetic) (old) foreign body in anterior chamber, left eye |
| H44713 | Retained (nonmagnetic) (old) foreign body in anterior chamber, bilateral |
| H44719 | Retained (nonmagnetic) (old) foreign body in anterior chamber, unspecified eye |
| H44721 | Retained (nonmagnetic) (old) foreign body in iris or ciliary body, right eye |
| H44722 | Retained (nonmagnetic) (old) foreign body in iris or ciliary body, left eye |
| H44723 | Retained (nonmagnetic) (old) foreign body in iris or ciliary body, bilateral |
| H44729 | Retained (nonmagnetic) (old) foreign body in iris or ciliary body, unspecified eye |
| H44731 | Retained (nonmagnetic) (old) foreign body in lens, right eye |
| H44732 | Retained (nonmagnetic) (old) foreign body in lens, left eye |
| H44733 | Retained (nonmagnetic) (old) foreign body in lens, bilateral |
| H44739 | Retained (nonmagnetic) (old) foreign body in lens, unspecified eye |
| H44741 | Retained (nonmagnetic) (old) foreign body in posterior wall of globe, right eye |
| H44742 | Retained (nonmagnetic) (old) foreign body in posterior wall of globe, left eye |
| H44743 | Retained (nonmagnetic) (old) foreign body in posterior wall of globe, bilateral |
| H44749 | Retained (nonmagnetic) (old) foreign body in posterior wall of globe, unspecified eye |
| H44751 | Retained (nonmagnetic) (old) foreign body in vitreous body, right eye |
| H44752 | Retained (nonmagnetic) (old) foreign body in vitreous body, left eye |
| H44753 | Retained (nonmagnetic) (old) foreign body in vitreous body, bilateral |
| H44759 | Retained (nonmagnetic) (old) foreign body in vitreous body, unspecified eye |
| H44791 | Retained (old) intraocular foreign body, nonmagnetic, in other or multiple sites, right eye |
| H44792 | Retained (old) intraocular foreign body, nonmagnetic, in other or multiple sites, left eye |
| H44793 | Retained (old) intraocular foreign body, nonmagnetic, in other or multiple sites, bilateral |
| H44799 | Retained (old) intraocular foreign body, nonmagnetic, in other or multiple sites, unspecified eye |
| H44811 | Hemophthalmos, right eye |
| H44812 | Hemophthalmos, left eye |
| H44813 | Hemophthalmos, bilateral |
| H44819 | Hemophthalmos, unspecified eye |
| H44821 | Luxation of globe, right eye |
| H44822 | Luxation of globe, left eye |
| H44823 | Luxation of globe, bilateral |
| H44829 | Luxation of globe, unspecified eye |
| H4489 | Other disorders of globe |
| H449 | Unspecified disorder of globe |
| H4600 | Optic papillitis, unspecified eye |
| H4601 | Optic papillitis, right eye |
| H4602 | Optic papillitis, left eye |
| H4603 | Optic papillitis, bilateral |
| H4610 | Retrobulbar neuritis, unspecified eye |
| H4611 | Retrobulbar neuritis, right eye |
| H4612 | Retrobulbar neuritis, left eye |
| H4613 | Retrobulbar neuritis, bilateral |
| H462 | Nutritional optic neuropathy |
| H463 | Toxic optic neuropathy |
| H468 | Other optic neuritis |
| H469 | Unspecified optic neuritis |
| H47011 | Ischemic optic neuropathy, right eye |
| H47012 | Ischemic optic neuropathy, left eye |
| H47013 | Ischemic optic neuropathy, bilateral |
| H47019 | Ischemic optic neuropathy, unspecified eye |
| H47021 | Hemorrhage in optic nerve sheath, right eye |
| H47022 | Hemorrhage in optic nerve sheath, left eye |
| H47023 | Hemorrhage in optic nerve sheath, bilateral |
| H47029 | Hemorrhage in optic nerve sheath, unspecified eye |
| H47031 | Optic nerve hypoplasia, right eye |
| H47032 | Optic nerve hypoplasia, left eye |
| H47033 | Optic nerve hypoplasia, bilateral |
| H47039 | Optic nerve hypoplasia, unspecified eye |
| H47091 | Other disorders of optic nerve, not elsewhere classified, right eye |
| H47092 | Other disorders of optic nerve, not elsewhere classified, left eye |
| H47093 | Other disorders of optic nerve, not elsewhere classified, bilateral |
| H47099 | Other disorders of optic nerve, not elsewhere classified, unspecified eye |
| H4712 | Papilledema associated with decreased ocular pressure |
| H4713 | Papilledema associated with retinal disorder |
| H4720 | Unspecified optic atrophy |
| H47211 | Primary optic atrophy, right eye |
| H47212 | Primary optic atrophy, left eye |
| H47213 | Primary optic atrophy, bilateral |
| H47219 | Primary optic atrophy, unspecified eye |
| H4722 | Hereditary optic atrophy |
| H47231 | Glaucomatous optic atrophy, right eye |
| H47232 | Glaucomatous optic atrophy, left eye |
| H47233 | Glaucomatous optic atrophy, bilateral |
| H47239 | Glaucomatous optic atrophy, unspecified eye |
| H47291 | Other optic atrophy, right eye |
| H47292 | Other optic atrophy, left eye |
| H47293 | Other optic atrophy, bilateral |
| H47299 | Other optic atrophy, unspecified eye |
| H47311 | Coloboma of optic disc, right eye |
| H47312 | Coloboma of optic disc, left eye |
| H47313 | Coloboma of optic disc, bilateral |
| H47319 | Coloboma of optic disc, unspecified eye |
| H47321 | Drusen of optic disc, right eye |
| H47322 | Drusen of optic disc, left eye |
| H47323 | Drusen of optic disc, bilateral |
| H47329 | Drusen of optic disc, unspecified eye |
| H47331 | Pseudopapilledema of optic disc, right eye |
| H47332 | Pseudopapilledema of optic disc, left eye |
| H47333 | Pseudopapilledema of optic disc, bilateral |
| H47339 | Pseudopapilledema of optic disc, unspecified eye |
| H47391 | Other disorders of optic disc, right eye |
| H47392 | Other disorders of optic disc, left eye |
| H47393 | Other disorders of optic disc, bilateral |
| H47399 | Other disorders of optic disc, unspecified eye |
| H4900 | Third [oculomotor] nerve palsy, unspecified eye |
| H4901 | Third [oculomotor] nerve palsy, right eye |
| H4902 | Third [oculomotor] nerve palsy, left eye |
| H4903 | Third [oculomotor] nerve palsy, bilateral |
| H4910 | Fourth [trochlear] nerve palsy, unspecified eye |
| H4911 | Fourth [trochlear] nerve palsy, right eye |
| H4912 | Fourth [trochlear] nerve palsy, left eye |
| H4913 | Fourth [trochlear] nerve palsy, bilateral |
| H4920 | Sixth [abducent] nerve palsy, unspecified eye |
| H4921 | Sixth [abducent] nerve palsy, right eye |
| H4922 | Sixth [abducent] nerve palsy, left eye |
| H4923 | Sixth [abducent] nerve palsy, bilateral |
| H4930 | Total (external) ophthalmoplegia, unspecified eye |
| H4931 | Total (external) ophthalmoplegia, right eye |
| H4932 | Total (external) ophthalmoplegia, left eye |
| H4933 | Total (external) ophthalmoplegia, bilateral |
| H4940 | Progressive external ophthalmoplegia, unspecified eye |
| H4941 | Progressive external ophthalmoplegia, right eye |
| H4942 | Progressive external ophthalmoplegia, left eye |
| H4943 | Progressive external ophthalmoplegia, bilateral |
| H49881 | Other paralytic strabismus, right eye |
| H49882 | Other paralytic strabismus, left eye |
| H49883 | Other paralytic strabismus, bilateral |
| H49889 | Other paralytic strabismus, unspecified eye |
| H499 | Unspecified paralytic strabismus |
| H5000 | Unspecified esotropia |
| H50011 | Monocular esotropia, right eye |
| H50012 | Monocular esotropia, left eye |
| H50021 | Monocular esotropia with A pattern, right eye |
| H50022 | Monocular esotropia with A pattern, left eye |
| H50031 | Monocular esotropia with V pattern, right eye |
| H50032 | Monocular esotropia with V pattern, left eye |
| H50041 | Monocular esotropia with other noncomitancies, right eye |
| H50042 | Monocular esotropia with other noncomitancies, left eye |
| H5005 | Alternating esotropia |
| H5006 | Alternating esotropia with A pattern |
| H5007 | Alternating esotropia with V pattern |
| H5008 | Alternating esotropia with other noncomitancies |
| H5010 | Unspecified exotropia |
| H50111 | Monocular exotropia, right eye |
| H50112 | Monocular exotropia, left eye |
| H50121 | Monocular exotropia with A pattern, right eye |
| H50122 | Monocular exotropia with A pattern, left eye |
| H50131 | Monocular exotropia with V pattern, right eye |
| H50132 | Monocular exotropia with V pattern, left eye |
| H50141 | Monocular exotropia with other noncomitancies, right eye |
| H50142 | Monocular exotropia with other noncomitancies, left eye |
| H5015 | Alternating exotropia |
| H5016 | Alternating exotropia with A pattern |
| H5017 | Alternating exotropia with V pattern |
| H5018 | Alternating exotropia with other noncomitancies |
| H5021 | Vertical strabismus, right eye |
| H5022 | Vertical strabismus, left eye |
| H5030 | Unspecified intermittent heterotropia |
| H50311 | Intermittent monocular esotropia, right eye |
| H50312 | Intermittent monocular esotropia, left eye |
| H5032 | Intermittent alternating esotropia |
| H50331 | Intermittent monocular exotropia, right eye |
| H50332 | Intermittent monocular exotropia, left eye |
| H5034 | Intermittent alternating exotropia |
| H5040 | Unspecified heterotropia |
| H50411 | Cyclotropia, right eye |
| H50412 | Cyclotropia, left eye |
| H5042 | Monofixation syndrome |
| H5043 | Accommodative component in esotropia |
| H5050 | Unspecified heterophoria |
| H5051 | Esophoria |
| H5052 | Exophoria |
| H5053 | Vertical heterophoria |
| H5054 | Cyclophoria |
| H5055 | Alternating heterophoria |
| H5060 | Mechanical strabismus, unspecified |
| H50611 | Brown's sheath syndrome, right eye |
| H50612 | Brown's sheath syndrome, left eye |
| H5069 | Other mechanical strabismus |
| H50811 | Duane's syndrome, right eye |
| H50812 | Duane's syndrome, left eye |
| H5089 | Other specified strabismus |
| H509 | Unspecified strabismus |
| H510 | Palsy (spasm) of conjugate gaze |
| H5111 | Convergence insufficiency |
| H5112 | Convergence excess |
| H518 | Other specified disorders of binocular movement |
| H519 | Unspecified disorder of binocular movement |
| H5200 | Hypermetropia, unspecified eye |
| H5201 | Hypermetropia, right eye |
| H5202 | Hypermetropia, left eye |
| H5203 | Hypermetropia, bilateral |
| H5210 | Myopia, unspecified eye |
| H5211 | Myopia, right eye |
| H5212 | Myopia, left eye |
| H5213 | Myopia, bilateral |
| H52201 | Unspecified astigmatism, right eye |
| H52202 | Unspecified astigmatism, left eye |
| H52203 | Unspecified astigmatism, bilateral |
| H52209 | Unspecified astigmatism, unspecified eye |
| H52211 | Irregular astigmatism, right eye |
| H52212 | Irregular astigmatism, left eye |
| H52213 | Irregular astigmatism, bilateral |
| H52219 | Irregular astigmatism, unspecified eye |
| H52221 | Regular astigmatism, right eye |
| H52222 | Regular astigmatism, left eye |
| H52223 | Regular astigmatism, bilateral |
| H52229 | Regular astigmatism, unspecified eye |
| H5231 | Anisometropia |
| H5232 | Aniseikonia |
| H524 | Presbyopia |
| H52511 | Internal ophthalmoplegia (complete) (total), right eye |
| H52512 | Internal ophthalmoplegia (complete) (total), left eye |
| H52513 | Internal ophthalmoplegia (complete) (total), bilateral |
| H52519 | Internal ophthalmoplegia (complete) (total), unspecified eye |
| H52521 | Paresis of accommodation, right eye |
| H52522 | Paresis of accommodation, left eye |
| H52523 | Paresis of accommodation, bilateral |
| H52529 | Paresis of accommodation, unspecified eye |
| H52531 | Spasm of accommodation, right eye |
| H52532 | Spasm of accommodation, left eye |
| H52533 | Spasm of accommodation, bilateral |
| H52539 | Spasm of accommodation, unspecified eye |
| H526 | Other disorders of refraction |
| H527 | Unspecified disorder of refraction |
| H53001 | Unspecified amblyopia, right eye |
| H53002 | Unspecified amblyopia, left eye |
| H53003 | Unspecified amblyopia, bilateral |
| H53009 | Unspecified amblyopia, unspecified eye |
| H53011 | Deprivation amblyopia, right eye |
| H53012 | Deprivation amblyopia, left eye |
| H53013 | Deprivation amblyopia, bilateral |
| H53019 | Deprivation amblyopia, unspecified eye |
| H53021 | Refractive amblyopia, right eye |
| H53022 | Refractive amblyopia, left eye |
| H53023 | Refractive amblyopia, bilateral |
| H53029 | Refractive amblyopia, unspecified eye |
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