ICD-10-CM Billable Code

H21.359

Exudative cyst of pars plana, unspecified eye

Clinical Classification Guidelines

Medical Intelligence & Overview

An exudative cyst of the pars plana is a rare eye condition characterized by the accumulation of fluid in a cystic formation located in the pars plana area of the eye. The pars plana is part of the ciliary body, situated behind the iris and in front of the retina, playing a role in eye fluid dynamics and support. This condition involves the build-up of exudate, which is fluid that leaks out of blood vessels due to inflammation or other underlying eye issues. While the term 'unspecified eye' indicates that this diagnosis can occur in either eye, the condition primarily affects the eye's internal structures, sometimes leading to visual disturbances.

Causes & Symptoms

Clinical Causes: Inflammation or uveitis affecting the eye Eye trauma or injury Infections within the eye, such as endophthalmitis Underlying ocular diseases like diabetic retinopathy Post-surgical changes or complications Degenerative changes in the eye tissues

Key Symptoms: Blurred or decreased vision Seeing floaters or flashes of light Eye discomfort or mild pain Possible swelling or bulging in the affected area Sensitivity to light (photophobia) In some cases, no noticeable symptoms, with findings discovered during routine examination

Diagnostic & Treatment

Diagnosis Path: To diagnose an exudative cyst of the pars plana, eye care professionals typically perform a comprehensive eye examination. This may include:

Treatment Protocols: Management of an exudative cyst often depends on the size, location, and symptoms, as well as any underlying causes. Possible treatment options include:

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is H21.359 a billable ICD-10 code?
Yes, H21.359 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report H21.359?
Clinical documentation must specify the nature of Exudative cyst of pars plana, unspecified eye and any associated comorbidities for accurate reporting.

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