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H05.253

Billable

Intermittent exophthalmos, bilateral

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

This condition involves the eyes bulging outward intermittently (coming and going) on both sides of the face. It typically occurs when there is increased pressure or swelling behind both eyeballs that is not constant.

Coding Tips

  • Verify that exophthalmos is documented as bilateral (affecting both eyes) and intermittent in nature before assigning this code
  • Investigate and code the underlying cause if documented (such as thyroid eye disease, orbital inflammation, or vascular malformations), as this code describes the symptom rather than the etiology

Code Hierarchy

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