ICD-10 Code H50.65 – Medial rectus muscle entrapment (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Medial rectus muscle entrapment is H50.65.
2026 ICD-10-CM Diagnosis Code H50.65 – Medial rectus muscle entrapment

What it is

This code identifies entrapment of the medial rectus muscle, usually meaning the muscle is mechanically trapped or restricted. It describes a specific ocular motility problem rather than a general eye injury.

Clinical signs

Typical findings include limited eye movement, especially impaired adduction, and possible diplopia. Clinical features vary; refer to documentation.

When to use this code

Use this code when the record clearly documents medial rectus muscle entrapment as the diagnosis. It may appear after orbital trauma, fracture, or surgical complication if the provider confirms the muscle is trapped. If documentation only says restricted eye movement, check documentation before assigning this code.

Do not use for

Do not use this code for nonspecific diplopia, general strabismus, or eye pain without documented entrapment. Do not assign it when the note describes another extraocular muscle or an unspecified orbital injury.

Coding tip

Code only when the provider documents medial rectus entrapment explicitly; otherwise, query or code the documented condition.

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