ICD-10 Code H49.881 – Other paralytic strabismus, right eye (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code H49.881 – Other paralytic strabismus, right eye
What it is
This code identifies a right-eye strabismus caused by paralysis of one or more extraocular muscles or their nerve supply. Use it when the deviation is paralytic but does not fit a more specific paralytic strabismus code.
Clinical signs
Typical findings include ocular misalignment, limited movement of the right eye in one or more directions, and diplopia. Clinical features vary; refer to documentation for the affected muscle or nerve if stated.
When to use this code
Use H49.881 when the provider documents paralytic strabismus of the right eye and no more specific subtype is named. It may be supported by exam findings of restricted motility, abnormal alignment, or double vision. If the note identifies a specific cranial nerve palsy, code that documented condition instead.
Do not use for
Do not use this code for nonparalytic strabismus, intermittent eye deviation, or unspecified laterality. Check documentation if the record only says “strabismus” without confirming a paralytic cause.
Coding tip
Match the laterality and the exact provider wording; if “right eye” and “paralytic” are not both documented, verify the note before assigning H49.881.