ICD-10-CM Billable Code

H21.542

Posterior synechiae (iris), left eye

Clinical Classification Guidelines

Medical Intelligence & Overview

Posterior synechiae refer to abnormal adhesions that form between the iris and the lens in the eye. Specifically, when these adhesions involve the back surface of the iris and the front of the lens in the left eye, they are classified under the ICD-10 code H21.542. This condition can affect eye appearance, movement, and vision, often requiring medical attention to prevent further complications.

Causes & Symptoms

Clinical Causes: Anterior uveitis or iritis leading to inflammation of the eye's uveal tract Eye trauma or injury causing damage to the iris or lens Infections within the eye, such as tuberculosis or herpes zoster Chronic eye inflammation or inflammatory eye diseases Complications from eye surgery or procedures Uncontrolled systemic inflammatory diseases

Key Symptoms: Redness and swelling around the eye Pain or discomfort in the eye Sensitivity to light (photophobia) Blurred vision or visual disturbances Fixed or irregular pupil shape Presence of floaters or visual haze

Diagnostic & Treatment

Diagnosis Path: Diagnosing posterior synechiae involves a comprehensive eye examination by an ophthalmologist. Key diagnostic methods include:

Treatment Protocols: Treatment strategies aim to reduce inflammation, prevent adhesion formation, and preserve vision. Common approaches 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 H21.542 a billable ICD-10 code?
Yes, H21.542 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report H21.542?
Clinical documentation must specify the nature of Posterior synechiae (iris), left eye and any associated comorbidities for accurate reporting.

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