H21.9

H21.9: Unspecified disorder of iris and ciliary body

Billable / specific codeICD-10-CM

H21.9 is a billable, specific ICD-10-CM code for unspecified disorder of iris and ciliary body. It is valid for submission on a claim.

Check H21.9 with the rest of the claim: free scrubber

Excludes2 inherited from the categories above H21.9

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

H21.9 is named in 6 Medicare coverage policies: 6 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56453Billing and Coding: Cataract Extraction
A56544Billing and Coding: Cataract Extraction
A57068Billing and Coding: Ocular Photography - External
A57071Billing and Coding: Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography)

Alphabetic index entries that lead here

Disease, diseased›aqueous(chamber)
Disease, diseased›ciliary body
Disease, diseased›iris
Disease, diseased›uveal tract(anterior)
Disorder›iris
Disease, diseased›anterior›chamber
Disease, diseased›eye›anterior chamber
Paralysis, paralytic›muscle, muscular NEC›iris sphincter

Code history

Unchanged in every release from FY2024 to FY2027.