ICD-10 Code H50.121 – Monocular exotropia with A pattern, right eye (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Monocular exotropia with A pattern, right eye is H50.121.
2026 ICD-10-CM Diagnosis Code H50.121 – Monocular exotropia with A pattern, right eye

What it is

H50.121 identifies outward deviation of the right eye with an A-pattern strabismus. Use it when the right eye turns outward and the misalignment changes in an A-shaped pattern with gaze direction.

Clinical signs

Typical findings include constant or intermittent right-eye exotropia and a pattern where the deviation increases in upgaze or decreases in downgaze. Clinical features vary; refer to documentation.

When to use this code

Use this code when the provider documents monocular exotropia of the right eye with A-pattern alignment. It fits ophthalmology or pediatric eye exams that specifically identify the eye involved and the pattern type. Check documentation if laterality or pattern is unclear.

Do not use for

Do not use this code for exotropia without documented A-pattern, or for left-eye, bilateral, or unspecified strabismus. Do not assume the pattern from general misalignment notes.

Coding tip

Verify both laterality and pattern in the assessment; if either is missing, query the provider before coding.

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