H59.219 Accidental puncture and laceration of unspecified eye and adnexa during an ophthalmic procedure

Billable ICD-10-CM code, FY2026. Acts as a Complication or Comorbidity (CC) as a secondary diagnosis.

Applies from H59 Intraoperative and postprocedural complications and disorders of eye and adnexa, not elsewhere classified

Excludes1 (never code together)

• mechanical complication of intraocular lens (T85.2)
• mechanical complication of other ocular prosthetic devices, implants and grafts (T85.3)
• pseudophakia (Z96.1)
• secondary cataracts (H26.4-)

MS-DRG index

Defines the logic of DRG(s) 791 in MDC 15.

Approximate ICD-9-CM (GEMs)

• 998.2 Accidental puncture or laceration during a procedure, not elsewhere classified (approximate)

Medicare Code Edits (MCE v43.1 (April 2026))

• Unspecified code (laterality): Unspecified codes for which a more specific code identifying laterality (right, left, bilateral) exists within the same code family.

Code annotations containing back-references to H59.219

Back-references to H59.2

• Type 1 Excludes: H59.1 Intraoperative hemorrhage and hematoma of eye and adnexa complicating a procedure ("intraoperative hemorrhage and hematoma of eye and adnexa due to accidental puncture or laceration during a procedure (H59.2-)")

Back-references to H59

• Type 2 Excludes: T81 Complications of procedures, not elsewhere classified ("intraoperative and postprocedural complications of specific body system (D78.-, E36.-, E89.-, G97.3-, G97.4, H59.3-, H59.-, H95.2-, H95.3, I97.4-, I97.5, J95, K91.-, L76.-, M96.-, N99.-)")

Nearby codes

• H59.2 Accidental puncture and laceration of eye and adnexa during a procedure
• H59.21 Accidental puncture and laceration of eye and adnexa during an ophthalmic procedure
• H59.211 Accidental puncture and laceration of right eye and adnexa during an ophthalmic procedure
• H59.212 Accidental puncture and laceration of left eye and adnexa during an ophthalmic procedure
• H59.213 Accidental puncture and laceration of eye and adnexa during an ophthalmic procedure, bilateral
• H59.219 Accidental puncture and laceration of unspecified eye and adnexa during an ophthalmic procedure (this code)
• H59.22 Accidental puncture and laceration of eye and adnexa during other procedure
• H59.221 Accidental puncture and laceration of right eye and adnexa during other procedure
• H59.222 Accidental puncture and laceration of left eye and adnexa during other procedure
• H59.223 Accidental puncture and laceration of eye and adnexa during other procedure, bilateral
• H59.229 Accidental puncture and laceration of unspecified eye and adnexa during other procedure