ICD-10-CM Code H21.4
Pupillary membranes
Non-Billable Code
Non-Billable means the code is not sufficient justification for admission to an acute care hospital when used a principal diagnosis. Use a child code to capture more detail.ICD Code H21.4 is a non-billable code. To code a diagnosis of this type, you must use one of the four child codes of H21.4 that describes the diagnosis 'pupillary membranes' in more detail.
- H21.4 Pupillary membranes NON-BILLABLE
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- BILLABLE H21.40 Pupillary membranes, unspecified eye
- BILLABLE H21.41 Pupillary membranes, right eye
- BILLABLE H21.42 Pupillary membranes, left eye
- BILLABLE H21.43 Pupillary membranes, bilateral
The ICD code H214 is used to code Persistent pupillary membrane
Persistent pupillary membrane (PPM) is a condition of the eye involving remnants of a fetal membrane that persist as strands of tissue crossing the pupil. The pupillary membrane in mammals exists in the fetus as a source of blood supply for the lens. It normally atrophies from the time of birth to the age of four to eight weeks. PPM occurs when this atrophy is incomplete. It generally does not cause any symptoms. The strands can connect to the cornea or lens, but most commonly to other parts of the iris. Attachment to the cornea can cause small corneal opacities, while attachment to the lens can cause small cataracts. Using topical atropine to dilate the pupil may help break down PPMs.
| Specialty: | Ophthalmology |
Photo of an eye with persistent pupillary membane.
Coding Notes for H21.4 Info for medical coders on how to properly use this ICD-10 code
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Inclusion Terms:
Inclusion Terms
Inclusion Terms are a list of concepts for which a specific code is used. The list of Inclusion Terms is useful for determining the correct code in some cases, but the list is not necessarily exhaustive. - Iris bombé
- Pupillary occlusion
- Pupillary seclusion
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Code Type-1 Excludes:
Type-1 Excludes
Type-1 Excludes mean the conditions excluded are mutually exclusive and should never be coded together. Excludes 1 means "do not code here." - Congenital pupillary membranes - instead, use code Q13.8
Related Concepts SNOMET-CT
- Rupture of sphincter of pupil (disorder)
ICD-10-CM Alphabetical Index References for 'H21.4 - Pupillary membranes'
The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code H21.4. Click on any term below to browse the alphabetical index.
Parent Code: H21 - Other disorders of iris and ciliary body