Other disorders of iris and ciliary body
In Disorders of sclera, cornea, iris and ciliary body (H15-H22), chapter 7: Diseases of the Eye and Adnexa
97 billable codes under H21: 4 are a CC; none map to an HCC.A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment.
Advertisements
Instructional notes
Excludes2: not included here, code separately if applicable
- sympathetic uveitis (H44.1-)
Official coding guidelines
From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.
Covers coding glaucoma by type, eye, and stage, including bilateral cases and stage changes, and coding blindness or low vision when the impairment category is undocumented.
All codes under H21
H21 can't be used on a claim. Pick a billable code below; grey headings group them.
- H21.0Hyphema
- H21.00Hyphema, unspecified eye
- H21.01Hyphema, right eye
- H21.02Hyphema, left eye
- H21.03Hyphema, bilateral
- H21.1Other vascular disorders of iris and ciliary body
- H21.1XOther vascular disorders of iris and ciliary body
- H21.1X1Other vascular disorders of iris and ciliary body, right eye
- H21.1X2Other vascular disorders of iris and ciliary body, left eye
- H21.1X3Other vascular disorders of iris and ciliary body, bilateral
- H21.1X9Other vascular disorders of iris and ciliary body, unspecified eye
- H21.2Degeneration of iris and ciliary body
- H21.21Degeneration of chamber angle
- H21.211Degeneration of chamber angle, right eye
- H21.212Degeneration of chamber angle, left eye
- H21.213Degeneration of chamber angle, bilateral
- H21.219Degeneration of chamber angle, unspecified eye
- H21.22Degeneration of ciliary body
- H21.221Degeneration of ciliary body, right eye
- H21.222Degeneration of ciliary body, left eye
- H21.223Degeneration of ciliary body, bilateral
- H21.229Degeneration of ciliary body, unspecified eye
- H21.23Degeneration of iris (pigmentary)
- H21.231Degeneration of iris (pigmentary), right eye
- H21.232Degeneration of iris (pigmentary), left eye
- H21.233Degeneration of iris (pigmentary), bilateral
- H21.239Degeneration of iris (pigmentary), unspecified eye
- H21.24Degeneration of pupillary margin
- H21.241Degeneration of pupillary margin, right eye
- H21.242Degeneration of pupillary margin, left eye
- H21.243Degeneration of pupillary margin, bilateral
- H21.249Degeneration of pupillary margin, unspecified eye
- H21.25Iridoschisis
- H21.251Iridoschisis, right eye
- H21.252Iridoschisis, left eye
- H21.253Iridoschisis, bilateral
- H21.259Iridoschisis, unspecified eye
- H21.26Iris atrophy (essential) (progressive)
- H21.261Iris atrophy (essential) (progressive), right eye
- H21.262Iris atrophy (essential) (progressive), left eye
- H21.263Iris atrophy (essential) (progressive), bilateral
- H21.269Iris atrophy (essential) (progressive), unspecified eye
- H21.27Miotic pupillary cyst
- H21.271Miotic pupillary cyst, right eye
- H21.272Miotic pupillary cyst, left eye
- H21.273Miotic pupillary cyst, bilateral
- H21.279Miotic pupillary cyst, unspecified eye
- H21.29Other iris atrophy
- H21.3Cyst of iris, ciliary body and anterior chamber
- H21.30Idiopathic cysts of iris, ciliary body or anterior chamber
- H21.301Idiopathic cysts of iris, ciliary body or anterior chamber, right eye
- H21.302Idiopathic cysts of iris, ciliary body or anterior chamber, left eye
- H21.303Idiopathic cysts of iris, ciliary body or anterior chamber, bilateral
- H21.309Idiopathic cysts of iris, ciliary body or anterior chamber, unspecified eye
- H21.31Exudative cysts of iris or anterior chamber
- H21.311Exudative cysts of iris or anterior chamber, right eye
- H21.312Exudative cysts of iris or anterior chamber, left eye
- H21.313Exudative cysts of iris or anterior chamber, bilateral
- H21.319Exudative cysts of iris or anterior chamber, unspecified eye
- H21.32Implantation cysts of iris, ciliary body or anterior chamber
- H21.321Implantation cysts of iris, ciliary body or anterior chamber, right eye
- H21.322Implantation cysts of iris, ciliary body or anterior chamber, left eye
- H21.323Implantation cysts of iris, ciliary body or anterior chamber, bilateral
- H21.329Implantation cysts of iris, ciliary body or anterior chamber, unspecified eye
- H21.33Parasitic cyst of iris, ciliary body or anterior chamber
- H21.331Parasitic cyst of iris, ciliary body or anterior chamber, right eye
- H21.332Parasitic cyst of iris, ciliary body or anterior chamber, left eye
- H21.333Parasitic cyst of iris, ciliary body or anterior chamber, bilateral
- H21.339Parasitic cyst of iris, ciliary body or anterior chamber, unspecified eye
- H21.34Primary cyst of pars plana
- H21.341Primary cyst of pars plana, right eye
- H21.342Primary cyst of pars plana, left eye
- H21.343Primary cyst of pars plana, bilateral
- H21.349Primary cyst of pars plana, unspecified eye
- H21.35Exudative cyst of pars plana
- H21.351Exudative cyst of pars plana, right eye
- H21.352Exudative cyst of pars plana, left eye
- H21.353Exudative cyst of pars plana, bilateral
- H21.359Exudative cyst of pars plana, unspecified eye
- H21.4Pupillary membranes
- H21.40Pupillary membranes, unspecified eye
- H21.41Pupillary membranes, right eye
- H21.42Pupillary membranes, left eye
- H21.43Pupillary membranes, bilateral
- H21.5Other and unspecified adhesions and disruptions of iris and ciliary body
- H21.50Unspecified adhesions of iris
- H21.501Unspecified adhesions of iris, right eye
- H21.502Unspecified adhesions of iris, left eye
- H21.503Unspecified adhesions of iris, bilateral
- H21.509Unspecified adhesions of iris and ciliary body, unspecified eye
- H21.51Anterior synechiae (iris)
- H21.511Anterior synechiae (iris), right eye
- H21.512Anterior synechiae (iris), left eye
- H21.513Anterior synechiae (iris), bilateral
- H21.519Anterior synechiae (iris), unspecified eye
- H21.52Goniosynechiae
- H21.521Goniosynechiae, right eye
- H21.522Goniosynechiae, left eye
- H21.523Goniosynechiae, bilateral
- H21.529Goniosynechiae, unspecified eye
- H21.53Iridodialysis
- H21.531Iridodialysis, right eye
- H21.532Iridodialysis, left eye
- H21.533Iridodialysis, bilateral
- H21.539Iridodialysis, unspecified eye
- H21.54Posterior synechiae (iris)
- H21.541Posterior synechiae (iris), right eye
- H21.542Posterior synechiae (iris), left eye
- H21.543Posterior synechiae (iris), bilateral
- H21.549Posterior synechiae (iris), unspecified eye
- H21.55Recession of chamber angle
- H21.551Recession of chamber angle, right eye
- H21.552Recession of chamber angle, left eye
- H21.553Recession of chamber angle, bilateral
- H21.559Recession of chamber angle, unspecified eye
- H21.56Pupillary abnormalities
- H21.561Pupillary abnormality, right eye
- H21.562Pupillary abnormality, left eye
- H21.563Pupillary abnormality, bilateral
- H21.569Pupillary abnormality, unspecified eye
- H21.8Other specified disorders of iris and ciliary body
- H21.81Floppy iris syndrome
- H21.82Plateau iris syndrome (post-iridectomy) (postprocedural)
- H21.89Other specified disorders of iris and ciliary body
- H21.9Unspecified disorder of iris and ciliary body
H21 MS-DRGs
As the principal diagnosis, the billable codes under H21 group to MS-DRG 124, 125, 121, or 122 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
- DRG 124 Other Disorders of the Eye with MCC or Thrombolytic Agent (93 of 97 codes)
- DRG 125 Other Disorders of the Eye without MCC (93 of 97 codes)
- DRG 121 Acute Major Eye Infections with CC/MCC (4 of 97 codes)
- DRG 122 Acute Major Eye Infections without CC/MCC (4 of 97 codes)
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Eye Diseases
Even if your eyes feel healthy, you could have a problem and not know it. That's why regular eye exams are so important. Refractive errors are the most common type of vision problem that makes it hard to see clearly. But some eye conditions or diseases don't have any symptoms and can lead to a permanent loss of vision.
Read more about eye diseases on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.
