ICD-10 Code H50.08 – Alternating Esotropia with Other Noncomitancies (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Alternating esotropia with other noncomitancies is H50.08.
2026 ICD-10-CM Diagnosis Code H50.08 – Alternating esotropia with other noncomitancies

What it is

H50.08 identifies alternating inward deviation of the eyes, where either eye may turn in. Use this code when the esotropia is noncomitant, meaning the angle changes with gaze direction.

Clinical signs

Typical findings include inward eye deviation that alternates between eyes and does not remain equal in all directions of gaze. Clinical features vary; refer to documentation.

When to use this code

Use H50.08 when the provider documents alternating esotropia with a noncomitant pattern. It fits ophthalmology or pediatric eye evaluations that describe variable deviation by gaze position. If the note only says esotropia, check documentation for laterality and comitancy before coding.

Do not use for

Do not use this code for comitant esotropia, unilateral esotropia, or unspecified strabismus. If the record does not confirm alternating and noncomitant features, check documentation.

Coding tip

Code only when both alternating involvement and noncomitancy are clearly documented.

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