ICD-10-CM · Chapter 7 · H00-H59
H49 Paralytic strabismus
Excludes 2 (not included here)
- internal ophthalmoplegia (H52.51-)
- internuclear ophthalmoplegia (H51.2-)
- progressive supranuclear ophthalmoplegia (G23.1)
Subcodes
Each subcode links to a detail page with full clinical annotations.
| Code | Description | Billable |
|---|---|---|
| H49..0 | Third [oculomotor] nerve palsy | No |
| H49..00 | Third [oculomotor] nerve palsy, unspecified eye | Yes |
| H49..01 | Third [oculomotor] nerve palsy, right eye | Yes |
| H49..02 | Third [oculomotor] nerve palsy, left eye | Yes |
| H49..03 | Third [oculomotor] nerve palsy, bilateral | Yes |
| H49..1 | Fourth [trochlear] nerve palsy | No |
| H49..10 | Fourth [trochlear] nerve palsy, unspecified eye | Yes |
| H49..11 | Fourth [trochlear] nerve palsy, right eye | Yes |
| H49..12 | Fourth [trochlear] nerve palsy, left eye | Yes |
| H49..13 | Fourth [trochlear] nerve palsy, bilateral | Yes |
| H49..2 | Sixth [abducent] nerve palsy | No |
| H49..20 | Sixth [abducent] nerve palsy, unspecified eye | Yes |
| H49..21 | Sixth [abducent] nerve palsy, right eye | Yes |
| H49..22 | Sixth [abducent] nerve palsy, left eye | Yes |
| H49..23 | Sixth [abducent] nerve palsy, bilateral | Yes |
| H49..3 | Total (external) ophthalmoplegia | No |
| H49..30 | Total (external) ophthalmoplegia, unspecified eye | Yes |
| H49..31 | Total (external) ophthalmoplegia, right eye | Yes |
| H49..32 | Total (external) ophthalmoplegia, left eye | Yes |
| H49..33 | Total (external) ophthalmoplegia, bilateral | Yes |
| H49..4 | Progressive external ophthalmoplegia | No |
| H49..40 | Progressive external ophthalmoplegia, unspecified eye | Yes |
| H49..41 | Progressive external ophthalmoplegia, right eye | Yes |
| H49..42 | Progressive external ophthalmoplegia, left eye | Yes |
| H49..43 | Progressive external ophthalmoplegia, bilateral | Yes |
| H49..8 | Other paralytic strabismus | No |
| H49..81 | Kearns-Sayre syndrome | No |
| H49..811 | Kearns-Sayre syndrome, right eye | Yes |
| H49..812 | Kearns-Sayre syndrome, left eye | Yes |
| H49..813 | Kearns-Sayre syndrome, bilateral | Yes |
| H49..819 | Kearns-Sayre syndrome, unspecified eye | Yes |
| H49..88 | Other paralytic strabismus | No |
| H49..881 | Other paralytic strabismus, right eye | Yes |
| H49..882 | Other paralytic strabismus, left eye | Yes |
| H49..883 | Other paralytic strabismus, bilateral | Yes |
| H49..889 | Other paralytic strabismus, unspecified eye | Yes |
| H49..9 | Unspecified paralytic strabismus | Yes |
Last reviewed: September 2026