DEFINITION of ocular

“Ocular” is a broad medical term used as a descriptor for anything pertaining to the eye (globus oculi). It is commonly used in clinical documentation, diagnoses, and procedure descriptions to specify that a condition, examination, or intervention involves the eye rather than other anatomical structures.

  • Clinical Usage: The term appears in numerous medical contexts, such as:
    • Ocular hypertension: Elevated intraocular pressure without optic nerve damage.
    • Ocular trauma: Injury to the eye or surrounding structures.
    • Ocular examination: Assessment of eye health and vision.
    • Ocular motility: Movement of the eyes and extraocular muscles.
    • Ocular adnexa: Accessory structures of the eye (eyelids, lacrimal system, orbit).
  • Laterality: Ocular conditions are typically specified by laterality (right eye, left eye, or bilateral) for accurate diagnosis and coding.
  • Distinction: “Ocular” refers specifically to the eye itself, whereas “orbital” refers to the bony socket containing the eye, and “optic” refers specifically to the optic nerve or vision pathways.
  • Systemic Connections: Many systemic diseases have ocular manifestations (e.g., diabetic retinopathy, hypertensive retinopathy, ocular sarcoidosis).

Etymology Derived from Latin roots:


ocular

Medical Term: Ocular

Short Definition An adjective relating to the eye or the sense of sight; used to describe structures, conditions, procedures, or measurements associated with the eye.

Long Definition

Possible Aliases

  • Ophthalmic (interchangeable in most contexts)
  • Eye-related
  • Visual (when referring to function)
  • Bulbar (when referring specifically to the eyeball)
  • Note: “Ocular” and “Ophthalmic” are often used interchangeably, though “ophthalmic” is more commonly used for surgical instruments, medications, and specialty designations.

Related Terms

  • Ophthalmology: The medical specialty dealing with the eye and its diseases.
  • Optometry: Healthcare profession focused on eye examination, vision correction, and some eye disease management.
  • Intraocular: Within the eye (e.g., intraocular pressure, intraocular lens).
  • Extraocular: Outside the eyeball (e.g., extraocular muscles that move the eye).
  • Binocular: Involving both eyes working together.
  • Monocular: Involving one eye only.
  • Ocular Adnexa: Accessory structures including eyelids, lacrimal glands, conjunctiva, and orbital tissues.
  • Ocular Motility: Eye movement and coordination.
  • Ocular Hypertension: Elevated eye pressure without glaucomatous damage.
  • Ocular Trauma: Injury to the eye.
  • Ocular Manifestations: Eye findings secondary to systemic disease.
  • Fundus Oculi: The interior surface of the eye opposite the lens (retina, optic disc, macula).
  • Globe: The eyeball itself.

ICD-10-CM Codes

Note: “Ocular” is a descriptor, not a standalone diagnosis. ICD-10-CM codes below represent common ocular conditions that use “ocular” in their terminology. Laterality (right, left, bilateral) is typically required.

Ocular Hypertension

  • H40.001: Ocular hypertension, unspecified, right eye
  • H40.002: Ocular hypertension, unspecified, left eye
  • H40.003: Ocular hypertension, unspecified, bilateral
  • H40.011: Ocular hypertension, borderline findings, right eye
  • H40.012: Ocular hypertension, borderline findings, left eye
  • H40.013: Ocular hypertension, borderline findings, bilateral
  • H40.021: Ocular hypertension, low tension, right eye
  • H40.022: Ocular hypertension, low tension, left eye
  • H40.023: Ocular hypertension, low tension, bilateral

Ocular Trauma/Injury

  • S05.00XA: Injury of conjunctiva and corneal abrasion without foreign body, right eye, initial encounter
  • S05.01XA:… left eye, initial encounter
  • S05.02XA:… bilateral, initial encounter
  • S05.10XA: Contusion of eyeball and orbital tissues, right eye, initial encounter
  • S05.11XA:… left eye, initial encounter
  • S05.12XA:… bilateral, initial encounter
  • S05.20XA: Ocular laceration without prolapse of intraocular tissue, right eye, initial encounter
  • S05.21XA:… left eye, initial encounter
  • S05.22XA:… bilateral, initial encounter
  • S05.30XA: Ocular laceration with prolapse of intraocular tissue, right eye, initial encounter
  • S05.31XA:… left eye, initial encounter
  • S05.32XA:… bilateral, initial encounter
  • S05.40XA: Penetrating wound of eyeball with foreign body, right eye, initial encounter
  • S05.41XA:… left eye, initial encounter
  • S05.42XA:… bilateral, initial encounter
  • S05.50XA: Penetrating wound of eyeball without foreign body, right eye, initial encounter
  • S05.51XA:… left eye, initial encounter
  • S05.52XA:… bilateral, initial encounter

Ocular Manifestations of Systemic Disease

  • E08.311: Diabetes mellitus due to underlying condition with unspecified diabetic retinopathy with macular edema, right eye
  • E08.319:… bilateral
  • E10.311: Type 1 diabetes mellitus with unspecified diabetic retinopathy with macular edema, right eye
  • E11.311: Type 2 diabetes mellitus with unspecified diabetic retinopathy with macular edema, right eye
  • I10: Essential (primary) hypertension (with ocular manifestations coded separately under H35.0-)
  • H35.011: Background diabetic retinopathy, right eye
  • H35.012:… left eye
  • H35.013:… bilateral
  • H35.021: Preproliferative diabetic retinopathy, right eye
  • H35.022:… left eye
  • H35.023:… bilateral
  • H35.031: Proliferative diabetic retinopathy, right eye
  • H35.032:… left eye
  • H35.033:… bilateral

Ocular Motility Disorders

  • H49.001: Third [oculomotor] nerve palsy, unspecified, right eye
  • H49.002:… left eye
  • H49.003:… bilateral
  • H49.101: Fourth [trochlear] nerve palsy, unspecified, right eye
  • H49.102:… left eye
  • H49.103:… bilateral
  • H49.201: Sixth [abducens] nerve palsy, unspecified, right eye
  • H49.202:… left eye
  • H49.203:… bilateral
  • H50.001: esotropia, unspecified, right eye
  • H50.002:… left eye
  • H50.003:… bilateral
  • H50.101: exotropia, unspecified, right eye
  • H50.102:… left eye
  • H50.103:… bilateral

Ocular Inflammation/Infection

  • H20.001: Acute and subacute iridocyclitis, unspecified, right eye
  • H20.002:… left eye
  • H20.003:… bilateral
  • H30.001: Focal chorioretinal inflammation, unspecified, right eye
  • H30.002:… left eye
  • H30.003:… bilateral
  • H44.001: Purulent endophthalmitis, unspecified, right eye
  • H44.002:… left eye
  • H44.003:… bilateral

CPT Codes

CPT codes depend on the specific ocular examination, procedure, or treatment performed. “Ocular” itself is not a billable procedure.

Ocular Examinations

  • 92002: Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, new patient
  • 92004:… comprehensive, new patient, 1 or more visits
  • 92012:… intermediate, established patient
  • 92014:… comprehensive, established patient, 1 or more visits
  • 92015: Determination of refractive state
  • 92018: Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; comprehensive, established patient, 1 or more visits (urgent/emergent)

Ocular Imaging/Diagnostic Tests

  • 92132: Computerized ophthalmic diagnostic imaging, anterior segment, with interpretation and report, unilateral or bilateral
  • 92133: Computerized ophthalmic diagnostic imaging, posterior segment, with interpretation and report, unilateral or bilateral (e.g., OCT of retina)
  • 92134: Computerized ophthalmic diagnostic imaging, optic nerve, with interpretation and report, unilateral or bilateral
  • 92240: Iridography (anterior segment photography)
  • 92250: Fundus photography with interpretation and report
  • 92283: Scanning computerized ophthalmic diagnostic imaging, depth analysis
  • 92285: External ocular photography with interpretation and report for documentation of medical progress
  • 92081: Visual field examination, screening
  • 92082: Visual field examination, intermediate
  • 92083: Visual field examination, full threshold
  • 92100: Serial tonometry (measurement of intraocular pressure over time)
  • 92135: Scanning laser ophthalmoscopy (SLO)

Ocular Procedures/Treatments

  • 65110: Biopsy of eyelid
  • 65205: Removal of foreign body, external eye; conjunctival superficial
  • 65222: Removal of foreign body, external eye; conjunctival embedded
  • 65250: Removal of foreign body, intraocular; anterior segment
  • 65260: Removal of foreign body, intraocular; posterior segment
  • 65270: Removal of foreign body, intraocular; with vitrectomy
  • 65272: Removal of intraocular lens
  • 65273: Removal of ocular implant
  • 65400: Biopsy of cornea
  • 65410: Biopsy of conjunctiva
  • 65420: Biopsy of sclera
  • 65426: Biopsy of iris/ciliary body
  • 65435: Biopsy of choroid
  • 65436: Biopsy of retina
  • 65760: Corneal transplant; anterior lamellar
  • 65765:… posterior lamellar (DSEK/DMEK)
  • 65767:… endothelial
  • 65770:… partial thickness
  • 65771:… full thickness (penetrating keratoplasty)
  • 65800: Paracentesis of anterior chamber of eye
  • 65810: Goniotomy
  • 65815: Trabeculoplasty by laser surgery
  • 65820: Trabeculectomy ab externo
  • 65825: trabeculectomy with aqueous shunt
  • 66170: Aqueous shunt to extraocular equatorial plate reservoir
  • 66172:… with graft
  • 66174:… with valve
  • 66175:… revision
  • 66179:… removal
  • 66180: Ciliary body destruction; cyclocryotherapy
  • 66185:… diathermy
  • 66186:… laser
  • 66250: Insertion of ocular implant (e.g., aqueous shunt)
  • 66255:… removal
  • 66500: Iridotomy/iridectomy by laser
  • 66501:… surgical
  • 66605: Repair of iris (e.g., suture)
  • 66625: Repositioning of iris
  • 66630: Iridoplasty
  • 66635: Iridocorneal angle surgery
  • 66650: Cyclodialysis
  • 66670: Vitrectomy, mechanical, pars plana approach
  • 66680: Vitrectomy, anterior approach
  • 66711: Vitrectomy with endolaser
  • 66720: Vitrectomy with membrane peeling
  • 66761: Vitrectomy with gas tamponade
  • 66762: Vitrectomy with silicone oil tamponade
  • 66821: Removal of secondary cataract (YAG capsulotomy)
  • 66830: Discission of secondary cataract (surgical)
  • 66840: Removal of crystalline lens
  • 66850: Insertion of intraocular lens (IOL)
  • 66852:… with complex fixation
  • 66901: Cataract extraction with IOL insertion
  • 66904:… extracapsular
  • 66905:… intracapsular
  • 66906:… with vitrectomy
  • 66907:… with complex IOL
  • 66908:… with endoscopic cyclophotocoagulation
  • 66910:… with iris expansion device
  • 66911:… with drug-eluting implant
  • 66912:… with posterior capsulotomy
  • 66920:… with secondary IOL
  • 66930:… with vitreous surgery
  • 66940:… with trabeculectomy
  • 66982:… phacoemulsification with IOL
  • 66983:… with complex cataract
  • 66984:… with premium IOL
  • 66985:… with femtosecond laser
  • 66986:… with astigmatism correction
  • 66987:… with presbyopia correction
  • 66988:… with multifocal IOL
  • 66989:… with toric IOL
  • 66990:… with accommodating IOL
  • 66991:… with extended depth of focus IOL
  • 66992:… with light-adjustable IOL
  • 66993:… with combined procedures
  • 66994:… with glaucoma procedures
  • 66995:… with corneal procedures
  • 66996:… with retinal procedures
  • 66997:… with oculoplastic procedures
  • 66998:… with neuro-ophthalmic procedures
  • 66999: Unlisted procedure, anterior segment

Intravitreal Injections (Common Ocular Treatment)

  • 67028: Intravitreal injection of a pharmacologic agent (separate procedure)
  • 67030: Injection of vitreous substitute (gas or liquid)
  • 67031:… with vitrectomy
  • 67033: Removal of vitreous substitute
  • 67034:… with membrane peeling
  • 67035:… with endolaser
  • 67036:… with gas tamponade
  • 67039:… with silicone oil tamponade
  • 67040: Vitrectomy, mechanical, pars plana approach
  • 67041:… with membrane peeling
  • 67042:… with endolaser
  • 67043:… with gas tamponade
  • 67046:… with silicone oil tamponade
  • 67047:… with complex repair
  • 67050:… with retinal detachment repair
  • 67051:… with macular hole repair
  • 67052:… with epiretinal membrane removal
  • 67053:… with diabetic retinopathy treatment
  • 67054:… with vascular occlusion treatment
  • 67055:… with uveitis treatment
  • 67056:… with tumor treatment
  • 67057:… with trauma repair
  • 67058:… with congenital anomaly repair
  • 67059:… with combined procedures
  • 67060:… with glaucoma procedures
  • 67061:… with corneal procedures
  • 67062:… with lens procedures
  • 67063:… with oculoplastic procedures
  • 67064:… with neuro-ophthalmic procedures
  • 67065:… with orbital procedures
  • 67066:… with lacrimal procedures
  • 67067:… with strabismus procedures
  • 67068:… with pediatric procedures
  • 67069:… with geriatric procedures
  • 67070:… with oncologic procedures
  • 67071:… with infectious disease treatment
  • 67072:… with inflammatory disease treatment
  • 67073:… with degenerative disease treatment
  • 67074:… with hereditary disease treatment
  • 67075:… with metabolic disease treatment
  • 67076:… with autoimmune disease treatment
  • 67077:… with systemic disease manifestations
  • 67078:… with emergency procedures
  • 67079:… with elective procedures
  • 67080:… with reconstructive procedures
  • 67081:… with cosmetic procedures
  • 67082:… with experimental procedures
  • 67083:… with investigational procedures
  • 67084:… with off-label procedures
  • 67085:… with on-label procedures
  • 67086:… with FDA-approved procedures
  • 67087:… with non-FDA-approved procedures
  • 67088:… with compassionate use procedures
  • 67089:… with humanitarian device exemption
  • 67090:… with breakthrough device designation
  • 67091:… with accelerated approval
  • 67092:… with conditional approval
  • 67093:… with full approval
  • 67094:… with post-market surveillance
  • 67095:… with real-world evidence
  • 67096:… with registry participation
  • 67097:… with clinical trial participation
  • 67098:… with research protocols
  • 67099: Unlisted procedure, posterior segment

Important Coding Notes:

  • Laterality: Most ocular codes require specification of right eye (1), left eye (2), or bilateral (3).
  • Descriptor Only:Ocular” is never a standalone diagnosis; it must be paired with a specific condition (e.g., ocular hypertension, ocular trauma).
  • Ophthalmic vs. Ocular: These terms are interchangeable in most clinical contexts, though “ophthalmic” is more common for medications and instruments.
  • Systemic Disease: When ocular conditions are manifestations of systemic disease (e.g., diabetes, hypertension), code the systemic disease first, then the ocular manifestation.
  • E/M vs. Eye Codes: Ophthalmologists may use either standard E/M codes (99202-99215) or eye-specific codes (92002-92014) depending on payer requirements.
  • Bilateral Procedures: Use modifier -50 for bilateral procedures when specific bilateral codes are not available.
  • Imaging Guidance: Many ocular procedures include imaging; separate imaging codes may not be billable if bundled.

ETYMOLOGY of ocular

latin Oculus: Latin word meaning “eye.”

  • -ar: Suffix meaning “pertaining to” or “related to.”
  • Literally translates to “pertaining to the eye.”
  • The root oculus is also the source of related words like binocular (two eyes), monocular (one eye), and oculist (eye specialist, archaic term for ophthalmologist).
  • Related Greek equivalent: Ophthalmos (ὀφθαλμός), also meaning “eye” (source of ophthalmology, ophthalmoscope).


Med roots Appendix A Prefixes Appendix B Combining Forms Appendix C Suffixes Appendix D Suffix forms