ICD-10 Code H52.513 – Internal ophthalmoplegia (complete) (total), bilateral (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Internal ophthalmoplegia (complete) (total), bilateral is H52.513.
2026 ICD-10-CM Diagnosis Code H52.513 – Internal ophthalmoplegia (complete) (total), bilateral

What it is

This code identifies complete bilateral internal ophthalmoplegia, meaning both eyes have loss of normal pupillary function. It reflects paralysis of the iris sphincter and ciliary muscle, affecting pupil response and accommodation.

Clinical signs

Typical findings include bilaterally fixed or poorly reactive pupils and impaired near focusing. Clinical features vary; refer to documentation for the cause, onset, and whether the condition is complete or partial.

When to use this code

Use this code when the record clearly documents complete internal ophthalmoplegia in both eyes. It may appear in neurologic, toxic, traumatic, or postoperative contexts, but you should code only when bilateral involvement is stated.

If the note describes pupil abnormalities without confirming internal ophthalmoplegia, check documentation. Do not assume laterality or completeness from nonspecific terms such as anisocoria or mydriasis.

Do not use for

Do not use this code for unilateral involvement, partial internal ophthalmoplegia, or isolated pupil dilation without documented paralysis. Check documentation if the record is unclear.

Coding tip

Verify both laterality and completeness in the provider note before assigning H52.513.

Similar Posts

Leave a Reply

Your email address will not be published. Required fields are marked *