Q13.1
BillableAbsence 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)