H21.5 — Other and unspecified adhesions and disruptions of iris and ciliary body
Is H21.5 billable?
No — H21.5 is a non-billable header code. H21.5 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 28 billable codes beneath H21.5.
Billable codes under this header
- H21.501Unspecified adhesions of iris, right eye
- H21.502Unspecified adhesions of iris, left eye
- H21.503Unspecified adhesions of iris, bilateral
- H21.509Unspecified adhesions of iris and ciliary body, unspecified eye
- H21.511Anterior synechiae (iris), right eye
- H21.512Anterior synechiae (iris), left eye
- H21.513Anterior synechiae (iris), bilateral
- H21.519Anterior synechiae (iris), unspecified eye
- H21.521Goniosynechiae, right eye
- H21.522Goniosynechiae, left eye
- H21.523Goniosynechiae, bilateral
- H21.529Goniosynechiae, unspecified eye
- H21.531Iridodialysis, right eye
- H21.532Iridodialysis, left eye
- H21.533Iridodialysis, bilateral
- H21.539Iridodialysis, unspecified eye
- H21.541Posterior synechiae (iris), right eye
- H21.542Posterior synechiae (iris), left eye
- H21.543Posterior synechiae (iris), bilateral
- H21.549Posterior synechiae (iris), unspecified eye
- H21.551Recession of chamber angle, right eye
- H21.552Recession of chamber angle, left eye
- H21.553Recession of chamber angle, bilateral
- H21.559Recession of chamber angle, unspecified eye
- H21.561Pupillary abnormality, right eye
- H21.562Pupillary abnormality, left eye
- H21.563Pupillary abnormality, bilateral
- H21.569Pupillary abnormality, unspecified eye
H21.5 at a glance
| Code | H21.5 |
|---|---|
| Description | Other and unspecified adhesions and disruptions of iris and ciliary body |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Excludes1 — never code together
The conditions below can never be reported together with H21.5 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- corectopia (Q13.2)
Excludes2 — not included here — inherited from Chapter 7
The conditions below are not part of H21.5, but a patient may have both at the same time. When documentation supports it, H21.5 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 H21.5, but a patient may have both at the same time. When documentation supports it, H21.5 and the excluded code may both be reported.
- sympathetic uveitis (H44.1-)
What codes fall under H21.5? (7)
How long has H21.5 existed?
H21.5 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.
Which codes are confused with H21.5?
ICD-10-CM declares these codes mutually exclusive with H21.5 — exactly one of each pair can be correct for a given encounter.
What other codes are in the H21 family? (7)
- H21.0Hyphemanot billable
- H21.1Other vascular disorders of iris and ciliary bodynot billable
- H21.2Degeneration of iris and ciliary bodynot billable
- H21.3Cyst of iris, ciliary body and anterior chambernot billable
- H21.4Pupillary membranesnot billable
- H21.8Other specified disorders of iris and ciliary bodynot billable
- H21.9Unspecified disorder of iris and ciliary body