H21.279 — Miotic pupillary cyst, unspecified eye
Is H21.279 billable?
Yes, but H21.279 is an unspecified code. H21.279 is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, H21.279 is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting H21.279 — the more specific alternatives are listed below.
H21.279 at a glance
| Code | H21.279 |
|---|---|
| Description | Miotic pupillary cyst, unspecified eye |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does H21.279 group to?
H21.279 sits in MDC 02 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 124Other Disorders of the Eye with MCC or Thrombolytic Agentmedical
- 125Other Disorders of the Eye without MCCmedical
How is H21.279 listed in the Alphabetic Index?
The Alphabetic Index lists these routes under H21.27, the nearest indexed parent of H21.279. Use them to find the family, then select the specific code.
- Cyst › pupillary, miotic (colloid) (mucous) (simple) (retention)
Excludes2 — not included here — inherited from Chapter 7
The conditions below are not part of H21.279, but a patient may have both at the same time. When documentation supports it, H21.279 and the excluded code may both be reported.
- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
- diabetes mellitus related eye conditions (E09.3-, E10.3-, E11.3-, E13.3-)
- endocrine, nutritional and metabolic diseases (E00-E88)
- injury (trauma) of eye and orbit (S05.-)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
- syphilis related eye disorders (A50.01, A50.3-, A51.43, A52.71)
Excludes2 — not included here — inherited from H21
The conditions below are not part of H21.279, but a patient may have both at the same time. When documentation supports it, H21.279 and the excluded code may both be reported.
- sympathetic uveitis (H44.1-)
How long has H21.279 existed?
H21.279 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.