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H21.249

Billable

Degeneration of pupillary margin, unspecified eye

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), but the documentation does not specify which eye or eyes are affected.

Coding Tips

  • Use this code only when laterality cannot be determined from the medical record
  • Query the provider to determine specific eye involvement for more accurate coding when possible

Code Hierarchy

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