H49.4 Progressive external ophthalmoplegia

The ICD-10-CM code for Progressive external ophthalmoplegia is H49.4 (FY2026). It is a non-billable category code — select a more specific code below for claims.

Classification

Chapter

7: Diseases of the eye and adnexa (H00-H59)

Section

H49-H52: Disorders of ocular muscles, binocular movement, accommodation and refraction (H49-H52)

Category H49

38 codes (29 billable)

FY2026 Status

Stable since FY2024

Also Known As

ICD-10-CM Alphabetic Index entries that lead to H49.4:

• Ophthalmoplegia › external › progressive
• Strabismus (congenital) (nonparalytic) › paralytic › ophthalmoplegia (external) › progressive

Official Coding Guidelines

Glaucoma (TOC entry)

a. Glaucoma .............................................................................................................................. 48

Assigning glaucoma codes (use as many H40 codes as needed)

Assign as many codes from category H40, Glaucoma, as needed to identify the type of glaucoma, the affected eye, and the glaucoma stage.

Source: CMS — ICD-10-CM Official Guidelines for Coding and Reporting, FY2026

References

• CMS — ICD-10-CM Official Code Set and Guidelines, FY2026
• CDC/NCHS — ICD-10-CM Files and Browser Tool

Cite This Page

Reference H49.4 with the canonical source and edition:

H49.4 — Progressive external ophthalmoplegia. ICD-10 Coding Pro (ICD-10-CM FY2026). https://icd10codingpro.com/codes/H49.4

Canonical URL: https://icd10codingpro.com/codes/H49.4