Not Valid for Submission
H21.4 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of pupillary membranes. The code is not specific and is NOT valid for the year 2022 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.
Specific Coding for Pupillary membranes
Non-specific codes like H21.4 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for pupillary membranes:
Tabular List of Diseases and Injuries
The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code H21.4:
Inclusion TermsInclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
- Iris bombé
- Pupillary occlusion
- Pupillary seclusion
Type 1 ExcludesType 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
- congenital pupillary membranes Q13.8
Index to Diseases and Injuries
The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code H21.4 are found in the index:
Information for Patients
Some eye problems are minor and don't last long. But some can lead to a permanent loss of vision.
Common eye problems include
- Refractive errors
- Cataracts - clouded lenses
- Optic nerve disorders, including glaucoma
- Retinal disorders - problems with the nerve layer at the back of the eye
- Macular degeneration - a disease that destroys sharp, central vision
- Diabetic eye problems
- Conjunctivitis - an infection also known as pink eye
Your best defense is to have regular checkups, because eye diseases do not always have symptoms. Early detection and treatment could prevent vision loss. See an eye care professional right away if you have a sudden change in vision, if everything looks dim, or if you see flashes of light. Other symptoms that need quick attention are pain, double vision, fluid coming from the eye, and inflammation.
NIH: National Eye Institute
[Learn More in MedlinePlus]