Ocular pain, bilateral

This code signifies discomfort or aching sensation experienced in both eyes. It indicates that the patient is experiencing pain affecting both the left and right ocular structures.

This code is appropriate when documentation specifies ocular pain affecting both eyes. It is supported by physician notes detailing bilateral eye pain, without further specification of the underlying cause.

• Do not use this code if the pain is unilateral; instead, select the appropriate laterality (H57.11 for right, H57.12 for left).
• Always code the underlying cause of the ocular pain first, if known and documented.
• Ensure documentation clearly states "bilateral" or specifies pain in "both eyes" to support this code.