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H57.052

Billable

Tonic pupil, left eye

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

What This Code Means

A condition affecting the left eye where the pupil becomes abnormally dilated and responds slowly to light changes, often due to nerve damage.

Coding Tips

  • This code is specific to the left eye; use H57.051 for right eye involvement
  • Document the degree of pupil dilation and any associated vision or accommodation problems

Code Hierarchy

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