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H21.563

Billable

Pupillary abnormality, bilateral

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

What This Code Means

An abnormality in the size, shape, or function of the pupils in both eyes, such as irregularly shaped or non-reactive pupils.

Coding Tips

  • Bilateral pupillary abnormalities may indicate neurological involvement; review for associated neurological diagnoses
  • Document the specific nature of the abnormality and whether it is symmetric or asymmetric

Code Hierarchy

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