ICD10
ICD-10 Code H49.2: Sixth [abducent] nerve palsy
Reviewed by HealthAssure Clinical TeamUpdated 26 May 2026
What is this code?
ICD-10 entries help standardize how diagnoses are organized for coding, reporting, analytics, and documentation. This code sits within the broader ICD-10 area for Diseases of the eye and adnexa (H00-H59).
When is it used?
- May be used when a clinician documents sixth [abducent] nerve palsy in a patient's medical record.
- May appear in hospital records, claims, referrals, and clinical documentation.
- This code may act more like a grouping or parent code, so a more specific child code may be used in final documentation when available.
What it does not mean
- A code alone does not explain severity, treatment plan, or outcome.
- A medical code should not be treated as a substitute for a doctor's diagnosis or advice.
- This entry may represent a broader category rather than the most specific billable code.
Code hierarchy
chapter
7Diseases of the eye and adnexa (H00-H59)
block
H49-H52Disorders of ocular muscles, binocular movement, accommodation and refraction
category
H49Paralytic strabismus
currentH49
Where you may see this code
You may see this entry in coding references, medical records, or claims workflows when a broader diagnosis category is being reviewed before a more specific code is chosen.
Related specialists
Ophthalmologist
Related codes
Sibling codes
Mapped diagnoses and classifications
SNOMED_CT 398925009high
Abducens nerve disorder
Source: SNOMED International ICD-10 map
SNOMED_CT 398760006high
Abducens nerve palsy
Source: SNOMED International ICD-10 map
SNOMED_CT 398963001high
Abducens nerve weakness
Source: SNOMED International ICD-10 map
SNOMED_CT 16917201000119106high
Bilateral abducens nerve disorder
Source: SNOMED International ICD-10 map
SNOMED_CT 400945000high
Congenital sixth nerve palsy
Source: SNOMED International ICD-10 map
SNOMED_CT 16917241000119108high
Left abducens nerve disorder
Source: SNOMED International ICD-10 map
Coding guidelines
Compatibility
Legacy code aligns to an official FY 2026 category. Frontend should resolve to the official category page and surface the billable child codes.
Legacy codes
H49.2
Replacement codes
H49.20 — Sixth [abducent] nerve palsy, unspecified eyeH49.21 — Sixth [abducent] nerve palsy, right eyeH49.22 — Sixth [abducent] nerve palsy, left eyeH49.23 — Sixth [abducent] nerve palsy, bilateral
Common synonyms
Sixth [abducent] nerve palsy
Frequently asked questions
About this content
This page is prepared by HealthAssure's clinical team using official coding standards from ICD-10. AI tools assist with drafting explanations, which are then reviewed and verified by healthcare professionals for accuracy. This content is for informational purposes and does not replace professional medical advice. Meet our team.