ICD-10 Code H44.422 – Hypotony of left eye due to ocular fistula (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Hypotony of left eye due to ocular fistula is H44.422.
2026 ICD-10-CM Diagnosis Code H44.422 – Hypotony of left eye due to ocular fistula

What it is

This code identifies abnormally low intraocular pressure in the left eye caused by an ocular fistula. Use it when documentation links the hypotony directly to that fistulous connection.

Clinical signs

Typical findings may include a soft eye, reduced anterior chamber depth, or decreased vision. Clinical features vary; refer to documentation.

When to use this code

Use H44.422 when the provider documents hypotony of the left eye and states the cause is an ocular fistula. It is appropriate when the laterality and etiology are both specified in the record. If the chart does not clearly connect the low pressure to a fistula, check documentation.

Do not use for

Do not use this code for hypotony without a documented ocular fistula, or when the affected eye is not the left eye. Check documentation for the correct laterality and cause.

Coding tip

Code the underlying fistula-related hypotony only when the provider explicitly documents the causal relationship.

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