Postproc hematoma of eye and adnexa fol an opth proc, bi

This code signifies the presence of a hematoma (a collection of blood outside blood vessels) in both eyes or their surrounding structures that developed as a direct complication of a prior ophthalmic surgical or diagnostic procedure. This postprocedural bleeding can manifest in various ocular tissues, such as the conjunctiva, orbit, or eyelids.

Use this code when documentation clearly indicates a bilateral hematoma of the eye or adnexa that is explicitly linked as a complication of a recent ophthalmic intervention. This includes procedures like cataract surgery, glaucoma surgery, or intravitreal injections, where bleeding occurred post-operatively. The physician's notes should specify the laterality and the causal relationship to the procedure.

• Ensure documentation specifies "bilateral" involvement; otherwise, use the appropriate unilateral code.
• This code is for a postprocedural hematoma; do not use for traumatic or spontaneous hematomas.
• Sequence this code after the primary diagnosis for which the ophthalmic procedure was performed, if applicable, or as the primary diagnosis if the hematoma is the reason for the current encounter.