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H21.569

Billable

Pupillary abnormality, unspecified eye

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 pupil in an unspecified eye, such as an irregularly shaped or non-reactive pupil.

Coding Tips

  • •Use this code only when the specific eye is not documented; query the provider for laterality
  • •Pupillary abnormalities warrant investigation for underlying neurological or ocular causes

Code Hierarchy

└H21Other disorders of iris and ciliary body└H21.5Other and unspecified adhesions and disruptions of iris and ciliary body└H21.56Pupillary abnormalities└H21.569Pupillary abnormality, unspecified eye
└H21.569Pupillary abnormality, unspecified eye

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