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H20.013

Billable

Primary iridocyclitis, bilateral

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

What This Code Means

The iris and ciliary body of both eyes are inflamed due to a primary cause (not secondary to another condition), developing suddenly or over a short period.

Coding Tips

  • Bilateral coding requires explicit documentation that both eyes are affected; do not assume bilateral involvement
  • When bilateral iridocyclitis is present, code H20.013 once rather than coding each eye separately

Code Hierarchy

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