ICD-10-CM Code H21.569

Pupillary abnormality, unspecified eye

Version 2021 Billable Code

Valid for Submission

H21.569 is a billable code used to specify a medical diagnosis of pupillary abnormality, unspecified eye. The code is valid for the fiscal year 2021 for the submission of HIPAA-covered transactions. The ICD-10-CM code H21.569 might also be used to specify conditions or terms like disorder of sphincter pupillae muscle, disruption of iris, ectopic pupil, finding of pupil shape, keyhole pupil, large pupil, etc

ICD-10:H21.569
Short Description:Pupillary abnormality, unspecified eye
Long Description:Pupillary abnormality, unspecified eye

Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Disorder of sphincter pupillae muscle
  • Disruption of iris
  • Ectopic pupil
  • Finding of pupil shape
  • Keyhole pupil
  • Large pupil
  • Midbrain corectopia
  • Pupil irregular
  • Pupillary block
  • Pupillary disorder
  • Regularity of pupil - finding
  • Rupture of sphincter of pupil

Diagnostic Related Groups

The ICD-10 code H21.569 is grouped in the following groups for version MS-DRG V38.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC).
applicable from 10/01/2020 through 09/30/2021.

  • 124 - OTHER DISORDERS OF THE EYE WITH MCC
  • 125 - OTHER DISORDERS OF THE EYE WITHOUT MCC

Convert H21.569 to ICD-9

  • 364.75 - Pupillary abnormalities (Approximate Flag)

Code Classification

  • Diseases of the eye and adnexa (H00–H59)
    • Disorders of sclera, cornea, iris and ciliary body (H15-H22)
      • Other disorders of iris and ciliary body (H21)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021

Information for Patients


Eye Diseases

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 pinkeye

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

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