ICD-10 Code H49.819 – Kearns-Sayre syndrome, unspecified eye (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Kearns-Sayre syndrome, unspecified eye is H49.819.
2026 ICD-10-CM Diagnosis Code H49.819 – Kearns-Sayre syndrome, unspecified eye

What it is

H49.819 identifies Kearns-Sayre syndrome affecting an unspecified eye. Use it when documentation names this mitochondrial disorder but does not specify which eye is involved.

Clinical signs

Clinical features vary; refer to documentation. Kearns-Sayre syndrome is commonly associated with progressive external ophthalmoplegia, ptosis, and other ocular motility problems.

When to use this code

Use this code when the provider documents Kearns-Sayre syndrome and does not identify the right or left eye. It is appropriate for encounter notes, problem lists, or claims that only confirm the diagnosis. If the record specifies one eye, choose the laterality-specific code instead.

Do not use for

Do not use this code for nonspecific ptosis, ophthalmoplegia, or other eye movement disorders without documented Kearns-Sayre syndrome. Check documentation if the eye involved is stated.

Coding tip

Confirm both the syndrome name and laterality before coding, because unspecified eye codes should be used only when the record truly lacks that detail.

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