ICD-10-CM › H00-H59 › H49-H52 › H49 Paralytic strabismus › H49.3

H49.3

Total (external) ophthalmoplegia

Not billableICD-10-CM diagnosis code.

This code exists but cannot be submitted on its own. It groups the more specific codes beneath it.

A category header for its whole life, FY2016 onwards. It has never been valid for submission on its own.

Submit one of these 4 more specific codes instead:

  • 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

What has happened to this code

Every change the publisher made, from 2012 to now. Entries marked draft are from the pre-implementation releases: ICD-10 took effect on 1 October 2015, so nothing before FY2016 was ever valid on a claim.

  1. FY2012 Added to the draft code set draft Total (external) ophthalmoplegia

Official coding rules

Published by CDC for FY2027. A rule attached to a category binds every code beneath it, so the rules inherited from this code's ancestors are shown with the code they come from.

Inherited from H49 Paralytic strabismus

Excludes2 - not included here

  • internal ophthalmoplegia (H52.51-)
  • internuclear ophthalmoplegia (H51.2-)
  • progressive supranuclear ophthalmoplegia (G23.1)

Inherited from the H49-H52 section Disorders of ocular muscles, binocular movement, accommodation and refraction (H49-H52)

Excludes2 - not included here

  • nystagmus and other irregular eye movements (H55)

How CDC's index refers to this code

Wording from the official alphabetic index. Much of it appears nowhere in the code description, which is why a search for the everyday phrase so often finds nothing.

Codes in the same group

CodeDescriptionStatus
H49.0 Third [oculomotor] nerve palsy Not billable
H49.1 Fourth [trochlear] nerve palsy Not billable
H49.2 Sixth [abducent] nerve palsy Not billable
H49.4 Progressive external ophthalmoplegia Not billable
H49.8 Other paralytic strabismus Not billable
H49.9 Unspecified paralytic strabismus Valid