ICD-10 Code H50.07 – Alternating Esotropia with V Pattern (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code H50.07 – Alternating esotropia with V pattern
What it is
H50.07 identifies alternating esotropia with a V pattern, a form of eye misalignment where either eye may turn inward and the deviation changes with upgaze and downgaze. Use it when documentation specifically states this pattern.
Clinical signs
Typical findings include inward deviation of either eye, with greater esotropia in one vertical gaze position than the other. Clinical features vary; refer to documentation.
When to use this code
Use H50.07 when the provider documents alternating esotropia with a V pattern on examination or in the assessment. It is appropriate when the record clearly distinguishes the V pattern from other strabismus patterns. If the note is vague, check documentation before coding.
Do not use for
Do not use this code for unspecified esotropia, exotropia, or pattern deviations without alternating inward deviation. Do not assume the V pattern unless it is documented.
Coding tip
Confirm both elements in the record: alternating esotropia and V pattern.