H20.033
Secondary infectious iridocyclitis, bilateral
Clinical Classification Guidelines
Medical Intelligence & Overview
Secondary infectious bilateral iridocyclitis, coded as H20.033 in ICD-10, is an eye condition characterized by inflammation of both the iris and the ciliary body due to an infectious cause. When this inflammation occurs as a complication of another eye infection, it is classified as 'secondary.' This condition can affect vision and may require medical attention to manage the inflammation and underlying infection.
Causes & Symptoms
Clinical Causes: Infections from bacteria, viruses, fungi, or parasites that spread to the iris and ciliary body Pre-existing ocular infections that become complicated, such as uveitis caused by herpes simplex virus, herpes zoster, tuberculosis, or syphilis Spread of infectious agents through the bloodstream or direct extension from adjacent eye structures Compromised immune system increasing susceptibility to infections Trauma or surgical procedures that introduce infectious agents into the eye
Key Symptoms: Bilateral eye redness Eye pain or discomfort Blurred vision or decreased visual acuity Photophobia (sensitivity to light) Tearing or watery eyes Heterochromia (unequal eye color, in some cases) Floaters or spots in vision Sensory loss or a feeling of pressure in the eyes
Diagnostic & Treatment
Diagnosis Path: Slit-lamp examination to observe inflammation of the iris and ciliary body Intraocular pressure measurement Fundoscopy to examine the back of the eye Laboratory tests such as blood tests, conjunctival swabs, or aqueous humor analysis to identify infectious agents Imaging studies if structural damage or other ocular conditions are suspected
Treatment Protocols: Antimicrobial medications targeted at the specific infectious organism (antibiotics, antivirals, antifungals, or antiparasitic drugs) Corticosteroid eye drops or systemic steroids to reduce inflammation Cycloplegic eye drops to relax the iris and prevent synechiae (abnormal adhesions) Pain management with appropriate analgesics Close monitoring to assess treatment response and prevent complications Addressing underlying conditions or immunodeficiencies contributing to infection
Clinical Advice & FAQs
Billing Guidance
Is H20.033 a billable ICD-10 code?
Yes, H20.033 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report H20.033?
Clinical documentation must specify the nature of Secondary infectious iridocyclitis, bilateral and any associated comorbidities for accurate reporting.
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