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Q13.1

Billable

Absence of iris

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

What This Code Means

A rare congenital condition where a person is born without an iris, the colored part of the eye that controls pupil size and light entry.

Coding Tips

  • This is a severe condition; ensure documentation specifies complete absence versus partial absence
  • Verify laterality and document any associated vision impairment or light sensitivity

Use Additional Code

  • code for associated glaucoma (H42)

Code Hierarchy

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