ICD-10 Code H50.69 – Other mechanical strabismus (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Other mechanical strabismus is H50.69.
2026 ICD-10-CM Diagnosis Code H50.69 – Other mechanical strabismus

What it is

H50.69 identifies strabismus caused by a mechanical restriction or other physical factor affecting eye alignment. Use it when the deviation is not due to a neurologic palsy and documentation supports a mechanical cause.

Clinical signs

Typical findings include misaligned eyes with limited movement in one or more directions. Clinical features vary; refer to documentation for the specific mechanical cause, such as scarring, tethering, or orbital restriction.

When to use this code

Use this code when the provider documents mechanical strabismus and does not specify a more exact type. It fits cases where the eye turn is linked to an anatomic or restrictive problem rather than a muscle nerve disorder. Check documentation if the cause is unclear.

Do not use for

Do not use it for paralytic strabismus, congenital strabismus, or unspecified eye misalignment without a mechanical cause. If the record does not clearly support a mechanical origin, check documentation.

Coding tip

Assign H50.69 only when the chart explicitly supports a mechanical etiology and no more specific strabismus code applies.

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