What is the ICD-10 code for pigment dispersion syndrome?

The ICD-10 code for bilateral pigment dispersion syndrome is H21.233. It is used when both eyes are affected without glaucoma.

How is pigment dispersion syndrome documented?

Document specific findings such as Krukenberg spindle, mid-peripheral iris transillumination defects, and trabecular meshwork pigmentation.

ICD-10 Coding for Pigment Dispersion Syndrome(H21.233, H21.231, H21.232)

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Learn about the ICD-10 coding for pigment dispersion syndrome, including documentation requirements and common coding pitfalls.

Also known as:

PDSPigmentary Glaucoma

Related ICD-10 Code Ranges

Complete code families applicable to Pigment Dispersion Syndrome

H00-H59Primary Range

Diseases of the eye and adnexa

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Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

Code	Description	When to Use	Key Documentation
H21.233	Degeneration of iris (pigmentary), bilateral	Use when bilateral pigment dispersion syndrome is diagnosed without glaucoma.	Bilateral Krukenberg spindle Mid-peripheral iris transillumination defects Homogenous trabecular meshwork pigmentation
H40.11	Open-angle glaucoma with pigment dispersion syndrome	Use when pigment dispersion syndrome progresses to glaucoma.	Increased intraocular pressure Optic nerve damage or visual field loss

Primary ICD-10-CM Codes

Degeneration of iris (pigmentary), bilateral

H21.233Billable

Differential Codes

Alternative codes to consider when ruling out similar conditions

Pseudoexfoliation glaucomaH40.1

Documentation & Coding Risks

Avoid these common issues when documenting Pigment Dispersion Syndrome.

Vague documentation of eye pigment issues

Impact

Clinical: May lead to misdiagnosis or inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials or audits.

Mitigation

Use specific terminology like 'Krukenberg spindle'.

Using H21.233 for unilateral PDS

Impact

Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with ICD-10 laterality requirements., Data Quality: Inaccurate patient records and data reporting.

Mitigation

Use H21.231 or H21.232 for unilateral cases.

Laterality documentation

Impact

Incorrectly coding bilateral when only one eye is affected.

Mitigation

Ensure laterality is clearly documented in the patient's record.

Frequently Asked Questions

Primary Code

H21.233

Degeneration of iris (pigmentary), bilateral

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