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H57.053

Billable

Tonic pupil, bilateral

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

What This Code Means

A condition where both pupils become enlarged and respond slowly to light, caused by damage to the nerves controlling pupil movement.

Coding Tips

  • Verify documentation specifies bilateral involvement; if only one eye is affected, use H57.051 or H57.052 instead
  • Tonic pupil is often associated with Adie's syndrome; review clinical notes for additional diagnoses

Code Hierarchy

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