Hemorrhage of bilateral orbit

This code signifies bleeding within the orbital cavity affecting both eyes. This condition can arise from trauma, vascular malformations, or systemic coagulopathies, leading to proptosis, ecchymosis, and potential vision impairment.

Apply this code when documentation explicitly states hemorrhage involving both orbits. This diagnosis is supported by findings such as bilateral periorbital ecchymosis, subconjunctival hemorrhage, or imaging (CT/MRI) demonstrating blood within the orbital soft tissues of both eyes.

• Ensure documentation specifies "bilateral" involvement; otherwise, use codes for unilateral hemorrhage (H05.21- or H05.22-).
• Code any underlying cause of the hemorrhage (e.g., trauma, coagulation disorder) as a primary or secondary diagnosis.
• Distinguish from periorbital ecchymosis without true orbital hemorrhage, which may be coded differently.