ICD-10-CM Codes
H00-H59 Diseases of the eye and adnexa
H55-H57 Other disorders of eye and adnexa
H57- Other disorders of eye and adnexa

2018 ICD-10-CM Diagnosis Code H57.1

Ocular pain

2016

2017

2018

Non-Billable/Non-Specific Code

H57.1 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
The 2018 edition of ICD-10-CM H57.1 became effective on October 1, 2017.
This is the American ICD-10-CM version of H57.1 - other international versions of ICD-10 H57.1 may differ.

The following code(s) above H57.1 contain annotation back-references

Annotation Back-References

In this context, annotation back-references refer to codes that contain:

Applicable To annotations, or
Code Also annotations, or
Code First annotations, or
Excludes1 annotations, or
Excludes2 annotations, or
Includes annotations, or
Note annotations, or
Use Additional annotations

that may be applicable to H57.1:

H00-H59
2018 ICD-10-CM Range H00-H59
Diseases of the eye and adnexa
Note
- Use an external cause code following the code for the eye condition, if applicable, to identify the cause of the eye condition
Type 2 Excludes
- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
- diabetes mellitus related eye conditions (E09.3-, E10.3-, E11.3-, E13.3-)
- endocrine, nutritional and metabolic diseases (E00-E88)
- injury (trauma) of eye and orbit (S05.-)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
- syphilis related eye disorders (A50.01, A50.3-, A51.43, A52.71)
Diseases of the eye and adnexa

Clinical Information

A disorder characterized by a sensation of marked discomfort in the eye.
A dull or sharp painful sensation associated with the outer or inner structures of the eyeball, having different causes.
Painful sensation in the eye.

Code History

2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
2017 (effective 10/1/2016): No change
2018 (effective 10/1/2017): No change

Code annotations containing back-references to H57.1:

Type 1 Excludes: R52

ICD-10-CM Diagnosis Code R52
Pain, unspecified
Applicable To
- Acute pain NOS
- Generalized pain NOS
- Pain NOS
Type 1 Excludes
- acute and chronic pain, not elsewhere classified (G89.-)
- localized pain, unspecified type - code to pain by site, such as:
- abdomen pain (R10.-)
- back pain (M54.9)
- breast pain (N64.4)
- chest pain (R07.1-R07.9)
- ear pain (H92.0-)
- eye pain (H57.1)
- headache (R51)
- joint pain (M25.5-)
- limb pain (M79.6-)
- lumbar region pain (M54.5)
- pelvic and perineal pain (R10.2)
- shoulder pain (M25.51-)
- spine pain (M54.-)
- throat pain (R07.0)
- tongue pain (K14.6)
- tooth pain (K08.8)
- renal colic (N23)
- pain disorders exclusively related to psychological factors (F45.41)
Type 2 Excludes: G89

ICD-10-CM Diagnosis Code G89
Pain, not elsewhere classified
Code Also
- related psychological factors associated with pain (F45.42)
Type 1 Excludes
- generalized pain NOS (R52)
- pain disorders exclusively related to psychological factors (F45.41)
- pain NOS (R52)
Type 2 Excludes
- atypical face pain (G50.1)
- headache syndromes (G44.-)
- localized pain, unspecified type - code to pain by site, such as:
- abdomen pain (R10.-)
- back pain (M54.9)
- breast pain (N64.4)
- chest pain (R07.1-R07.9)
- ear pain (H92.0-)
- eye pain (H57.1)
- headache (R51)
- joint pain (M25.5-)
- limb pain (M79.6-)
- lumbar region pain (M54.5)
- painful urination (R30.9)
- pelvic and perineal pain (R10.2)
- shoulder pain (M25.51-)
- spine pain (M54.-)
- throat pain (R07.0)
- tongue pain (K14.6)
- tooth pain (K08.8)
- renal colic (N23)
- migraines (G43.-)
- myalgia (M79.1)
- pain from prosthetic devices, implants, and grafts (T82.84, T83.84, T84.84, T85.84-)
- phantom limb syndrome with pain (G54.6)
- vulvar vestibulitis (N94.810)
- vulvodynia (N94.81-)

Diagnosis Index entries containing back-references to H57.1:

Pain(s) R52
- see also Painful
ICD-10-CM Diagnosis Code R52
Pain, unspecified
Applicable To
Acute pain NOS
Generalized pain NOS
Pain NOS
Type 1 Excludes
acute and chronic pain, not elsewhere classified (G89.-)
localized pain, unspecified type - code to pain by site, such as:
abdomen pain (R10.-)
back pain (M54.9)
breast pain (N64.4)
chest pain (R07.1-R07.9)
ear pain (H92.0-)
eye pain (H57.1)
headache (R51)
joint pain (M25.5-)
limb pain (M79.6-)
lumbar region pain (M54.5)
pelvic and perineal pain (R10.2)
shoulder pain (M25.51-)
spine pain (M54.-)
throat pain (R07.0)
tongue pain (K14.6)
tooth pain (K08.8)
renal colic (N23)
pain disorders exclusively related to psychological factors (F45.41)
- ocular H57.1-
Sore
- eye H57.1-

ICD-10-CM Codes Adjacent To H57.1

H57.01 Argyll Robertson pupil, atypical

H57.02 Anisocoria

H57.03 Miosis

H57.04 Mydriasis

H57.05 Tonic pupil

H57.051 …… right eye

H57.052 …… left eye

H57.053 …… bilateral

H57.059 …… unspecified eye

H57.09 Other anomalies of pupillary function

H57.1 Ocular pain

H57.10 …… unspecified eye

H57.11 …… right eye

H57.12 …… left eye

H57.13 …… bilateral

H57.8 Other specified disorders of eye and adnexa

H57.9 Unspecified disorder of eye and adnexa

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

H59.0 Disorders of the eye following cataract surgery

H59.01 Keratopathy (bullous aphakic) following cataract surgery

H59.011 …… right eye

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

2018 ICD-10-CM Diagnosis Code H57.1

Ocular pain

Diseases of the eye and adnexa

Pain, unspecified

Pain, not elsewhere classified

Pain, unspecified