ICD-10 Code H44.323 – Siderosis of eye, bilateral (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Siderosis of eye, bilateral is H44.323.
2026 ICD-10-CM Diagnosis Code H44.323 – Siderosis of eye, bilateral

What it is

Siderosis of the eye is iron deposition in ocular tissues, usually after a retained iron-containing foreign body. Bilateral means both eyes are affected, so you should document involvement in each eye when available.

Clinical signs

Clinical features may include iris discoloration, pupillary changes, cataract, retinal degeneration, or reduced vision. Clinical features vary; refer to documentation.

When to use this code

Use H44.323 when the provider documents siderosis affecting both eyes, even if the original foreign body is no longer present. This code fits confirmed ocular iron deposition with bilateral involvement. If the record only says “siderosis” without laterality, check documentation.

Do not use for

Do not use this code for non-iron foreign bodies, superficial eye injuries, or unilateral siderosis. If the note describes another retained intraocular foreign body complication, code that condition instead.

Coding tip

Verify both laterality and the presence of iron-related ocular damage before assigning H44.323.

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