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H21.40

Billable

Pupillary membranes, unspecified eye

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

What This Code Means

Abnormal membrane tissue growing over the pupil (the dark center of the eye) when it is unclear which eye is affected. This can obstruct vision and may require treatment.

Coding Tips

  • •Use this code only when the specific eye is not documented
  • •If laterality is documented, use H21.41 (right) or H21.42 (left) for greater specificity

Code Hierarchy

└H21Other disorders of iris and ciliary body└H21.4Pupillary membranes└H21.40Pupillary membranes, unspecified eye
└H21.40Pupillary membranes, unspecified eye

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