Luxation of globe, bilateral

This code signifies the complete displacement of both eyeballs from their orbital sockets. This is a severe ocular injury where the globe is extruded anteriorly, often beyond the eyelids. It represents a critical ophthalmologic emergency.

Apply this code when documentation explicitly states bilateral luxation or proptosis of the globe. This typically occurs due to significant trauma, such as severe orbital fractures or direct impact. Physician documentation must clearly indicate involvement of both eyes.

• Ensure documentation specifies "bilateral" involvement; otherwise, use the appropriate unilateral code.
• Distinguish from exophthalmos (H05.2-) which is protrusion, not complete displacement.
• Always sequence this code first if it is the primary reason for the encounter, followed by codes for any underlying cause (e.g., trauma codes).