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H05.263

Billable

Pulsating exophthalmos, bilateral

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

What This Code Means

A condition where both eyes bulge forward from their sockets in a rhythmic, pulsating manner, typically caused by abnormal blood vessel connections or increased pressure behind the eyes. This creates a visible throbbing or pulsing movement of both eyeballs.

Coding Tips

  • Verify that the condition is documented as bilateral (affecting both eyes) before assigning this code; if only one eye is affected, use H05.261 instead
  • Investigate the underlying cause (such as carotid-cavernous fistula or vascular malformation) as this may require an additional diagnosis code for complete clinical documentation

Code Hierarchy

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