H57.059
BillableTonic pupil, unspecified eye
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
A condition where a pupil becomes enlarged and responds slowly to light, but the specific eye affected is not documented.
Coding Tips
- •This is a less specific code; attempt to obtain clarification on which eye is affected to assign the more specific code
- •Use only when laterality cannot be determined from medical record documentation
Code Hierarchy
└H57Other disorders of eye and adnexa└H57.0Anomalies of pupillary function└H57.05Tonic pupil└H57.059Tonic pupil, unspecified eye
└H57.059Tonic pupil, unspecified eye