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H21.243

Billable

Degeneration of pupillary margin, bilateral

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

What This Code Means

Deterioration of the pupillary margin (the edge of the pupil opening) in both eyes, which may affect pupil function and appearance bilaterally.

Coding Tips

  • •This code is specific to bilateral (both eyes) involvement; do not use if only one eye is affected
  • •Verify documentation confirms bilateral pupillary margin degeneration

Code Hierarchy

└H21Other disorders of iris and ciliary body└H21.2Degeneration of iris and ciliary body└H21.24Degeneration of pupillary margin└H21.243Degeneration of pupillary margin, bilateral
└H21.243Degeneration of pupillary margin, bilateral

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