ICD-10 Code H59.223 – Accidental puncture and laceration of eye and adnexa during other procedure, bilateral (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code H59.223 – Accidental puncture and laceration of eye and adnexa during other procedure, bilateral
What it is
This code identifies an accidental puncture or laceration involving both eyes or nearby adnexal structures that occurs during another procedure. It is used for an iatrogenic injury, not the underlying procedure itself.
Clinical signs
Clinical features vary; refer to documentation. You may see a recorded puncture, tear, or laceration of ocular or adnexal tissue, with bilateral involvement noted during or after the procedure.
When to use this code
Use this code when the record clearly states that both eyes or adnexal structures were accidentally injured during a procedure performed for another reason. The documentation should link the injury to the procedure and identify bilateral involvement. If laterality or the exact structure is unclear, check documentation before coding.
Do not use for
Do not use this code for intentional surgical incisions, routine operative findings, or eye injuries unrelated to a procedure. If the note does not support an accidental bilateral procedure-related injury, check documentation.
Coding tip
Code the complication only when the provider documents it as accidental and procedure-related, and capture bilateral laterality exactly as stated.