H21.81

H21.81: Floppy iris syndrome

Billable / specific codeICD-10-CM

H21.81 is a billable, specific ICD-10-CM code for floppy iris syndrome. It is valid for submission on a claim.

Check H21.81 with the rest of the claim: free scrubber

Use additional code

Add a secondary code to capture the detail described below.

code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Intraoperative floppy iris syndrome (IFIS)

Excludes2 inherited from the categories above H21.81

Not part of this code, but both may be coded when both are present.

Written on H21: Other disorders of iris and ciliary body

sympathetic uveitis (H44.1-)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

H21.81 is named in 12 Medicare coverage policies: 12 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A53060Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
A56453Billing and Coding: Cataract Extraction
A56544Billing and Coding: Cataract Extraction
A56615Billing and Coding: Cataract Extraction (including Complex Cataract Surgery)