ICD-10 Code H49.882 – Other paralytic strabismus, left eye (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Other paralytic strabismus, left eye is H49.882.
2026 ICD-10-CM Diagnosis Code H49.882 – Other paralytic strabismus, left eye

What it is

H49.882 identifies paralytic strabismus affecting the left eye when the cause is not otherwise specified. It means eye misalignment from weakness or paralysis of one or more extraocular muscles.

Clinical signs

Typical findings include ocular misalignment, limited eye movement, and diplopia when both eyes are open. Clinical features vary; refer to documentation.

When to use this code

Use this code when the record documents paralytic strabismus limited to the left eye and does not name a more specific subtype. It is appropriate when the provider describes a paralytic deviation, cranial nerve palsy-related strabismus, or similar left-eye involvement. Check documentation if the cause or laterality is unclear.

Do not use for

Do not use it for nonparalytic strabismus, unspecified eye involvement, or right-eye disease. If the note identifies a more specific paralytic strabismus code, use that instead.

Coding tip

Confirm laterality and whether the provider documented a specific nerve palsy before assigning H49.882.

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