ICD-10-CM H49: Paralytic strabismus

ICD-10-CM Diagnosis Code (2025)

Official Description for H49

Paralytic strabismus

Coding Notes & Guidelines for H49

Excludes1: Not Coded Here

Kearns-Sayre syndrome (H49.81-)

Excludes2: Not Included Here
  • internal ophthalmoplegia (H52.51-)
  • internuclear ophthalmoplegia (H51.2-)
  • progressive supranuclear ophthalmoplegia (G23.1)
Inclusion Terms

Progressive external ophthalmoplegia with pigmentary retinopathy

Inclusion Terms

External ophthalmoplegia NOS

Code Also
  • , if applicable, other manifestations, such as:
  • heart block (I45.9)

Child Codes (More Specific Codes for H49):

H49.0 - Third [oculomotor] nerve palsy H49.00 - Third [oculomotor] nerve palsy, unspecified eye H49.01 - Third [oculomotor] nerve palsy, right eye H49.02 - Third [oculomotor] nerve palsy, left eye H49.03 - Third [oculomotor] nerve palsy, bilateral H49.1 - Fourth [trochlear] nerve palsy H49.10 - Fourth [trochlear] nerve palsy, unspecified eye H49.11 - Fourth [trochlear] nerve palsy, right eye H49.12 - Fourth [trochlear] nerve palsy, left eye H49.13 - Fourth [trochlear] nerve palsy, bilateral H49.2 - Sixth [abducent] nerve palsy H49.20 - Sixth [abducent] nerve palsy, unspecified eye H49.21 - Sixth [abducent] nerve palsy, right eye H49.22 - Sixth [abducent] nerve palsy, left eye H49.23 - Sixth [abducent] nerve palsy, bilateral H49.3 - Total (external) ophthalmoplegia H49.30 - Total (external) ophthalmoplegia, unspecified eye H49.31 - Total (external) ophthalmoplegia, right eye H49.32 - Total (external) ophthalmoplegia, left eye H49.33 - Total (external) ophthalmoplegia, bilateral H49.4 - Progressive external ophthalmoplegia H49.40 - Progressive external ophthalmoplegia, unspecified eye H49.41 - Progressive external ophthalmoplegia, right eye H49.42 - Progressive external ophthalmoplegia, left eye H49.43 - Progressive external ophthalmoplegia, bilateral H49.8 - Other paralytic strabismus H49.81 - Kearns-Sayre syndrome H49.811 - Kearns-Sayre syndrome, right eye H49.812 - Kearns-Sayre syndrome, left eye H49.813 - Kearns-Sayre syndrome, bilateral H49.819 - Kearns-Sayre syndrome, unspecified eye H49.88 - Other paralytic strabismus H49.881 - Other paralytic strabismus, right eye H49.882 - Other paralytic strabismus, left eye H49.883 - Other paralytic strabismus, bilateral H49.889 - Other paralytic strabismus, unspecified eye H49.9 - Unspecified paralytic strabismus

About ICD-10-CM Code H49 (Paralytic strabismus)

ICD-10-CM code H49 is a billable or specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2025 edition of ICD-10-CM H49 became effective on October 1, 2024.

This page provides detailed information about H49 - Paralytic strabismus. It includes common terminology, coding guidelines such as "Includes," "Excludes1," and "Excludes2" notes, and information on required 7th characters. Utilizing this information correctly is essential for accurate medical coding and claims submission for conditions like Paralytic strabismus.