Is H49 a billable code?
No. H49 is a header code that groups 29 more specific codes. Use one of the billable codes listed on this page instead.
ICD-10-CM FY2027 diagnosis code
H49: Paralytic strabismus
Header code: not billableValid for dates of service October 1, 2026 to September 30, 2027
H49 groups related diagnoses under paralytic strabismus. It cannot be used on a claim by itself. Choose the billable code below that matches the patient's record.
Billable codes under H49
- H49.00Third [oculomotor] nerve palsy, unspecified eye
- H49.01Third [oculomotor] nerve palsy, right eye
- H49.02Third [oculomotor] nerve palsy, left eye
- H49.03Third [oculomotor] nerve palsy, bilateral
- H49.10Fourth [trochlear] nerve palsy, unspecified eye
- H49.11Fourth [trochlear] nerve palsy, right eye
- H49.12Fourth [trochlear] nerve palsy, left eye
- H49.13Fourth [trochlear] nerve palsy, bilateral
- H49.20Sixth [abducent] nerve palsy, unspecified eye
- H49.21Sixth [abducent] nerve palsy, right eye
- H49.22Sixth [abducent] nerve palsy, left eye
- H49.23Sixth [abducent] nerve palsy, bilateral
- H49.30Total (external) ophthalmoplegia, unspecified eye
- H49.31Total (external) ophthalmoplegia, right eye
- H49.32Total (external) ophthalmoplegia, left eye
- H49.33Total (external) ophthalmoplegia, bilateral
- H49.40Progressive external ophthalmoplegia, unspecified eye
- H49.41Progressive external ophthalmoplegia, right eye
- H49.42Progressive external ophthalmoplegia, left eye
- H49.43Progressive external ophthalmoplegia, bilateral
- H49.811Kearns-Sayre syndrome, right eye
- H49.812Kearns-Sayre syndrome, left eye
- H49.813Kearns-Sayre syndrome, bilateral
- H49.819Kearns-Sayre syndrome, unspecified eye
- H49.881Other paralytic strabismus, right eye
- H49.882Other paralytic strabismus, left eye
- H49.883Other paralytic strabismus, bilateral
- H49.889Other paralytic strabismus, unspecified eye
- H49.9Unspecified paralytic strabismus
H49 questions
What does H49 mean?
H49 is the ICD-10-CM code for Paralytic strabismus. It is in chapter 7, Diseases of the eye and adnexa (H00-H59).
Code titles come from the official ICD-10-CM files published by the CDC National Center for Health Statistics. Always check payer rules and the clinical record before billing.