Pupillary abnormality, right eye 1 H21.561 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 The 2021 edition of ICD-10-CM H21.561 became effective on October 1, 2020. 3 This is the American ICD-10-CM version of H21.561 - other international versions of ICD-10 H21.561 may differ. More ...
Tonic pupil, right eye. H57.051 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2019 edition of ICD-10-CM H57.051 became effective on October 1, 2018.
H57.051 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM H57.051 became effective on October 1, 2021. This is the American ICD-10-CM version of H57.051 - other international versions of ICD-10 H57.051 may differ. injury (trauma) of eye and orbit ( S05.-)
Poor pupil dilation to mydriatic eye drop (finding) ICD-10-CM Alphabetical Index References for 'H57.09 - Other anomalies of pupillary function' The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code H57.09. Click on any term below to browse the alphabetical index.
Disease. Adie tonic pupil, also known as Adie's Syndrome or Holmes-Adie Syndrome, is a disorder in which there is parasympathetic denervation of the afflicted pupil resulting in a poor light but better and tonic near constriction.
ICD-10 | Mydriasis (H57. 04)
ICD-10-CM Code for Anisocoria H57. 02.
ICD-10-CM H44. 009 is grouped within Diagnostic Related Group(s) (MS-DRG v39.0): 121 Acute major eye infections with cc/mcc. 122 Acute major eye infections without cc/mcc.
Uneven pupil size, or anisocoria, may be a normal variation in a person's eyes or may indicate an underlying problem.
Miosis can occur in one or both eyes. When it affects only one eye, it's also called anisocoria. Another name for miosis is pinpoint pupil. When your pupils are excessively dilated, it's called mydriasis.
dilatation of the pupilDefinition of mydriasis : excessive or prolonged dilatation of the pupil of the eye.
ICD-10-CM Code for Horner's syndrome G90. 2.
Corectopia is the displacement of the eye's pupil from its normal, central position. It may be associated with high myopia or ectopia lentis, among other conditions. Medical or surgical intervention may be indicated for the treatment of corectopia in some cases.
ICD-10 code H57. 10 for Ocular pain, unspecified eye is a medical classification as listed by WHO under the range - Diseases of the eye and adnexa .
31.
S05.02XAThe general ICD-10 code to describe the initial evaluation of a patient with a corneal abrasion using ICD-10 is: S05. 02XA – Injury of conjunctiva and corneal abrasion without foreign body, left eye, initial encounter.
dilatation of the pupilDefinition of mydriasis : excessive or prolonged dilatation of the pupil of the eye.
Benign episodic unilateral mydriasis (BEUM) is a temporary condition that creates a dilated pupil in only one eye. Often individuals with this condition will also experience a mild headache, eye pain, light sensitivity, and blurred vision during these episodes.
Corectopia is the displacement of the eye's pupil from its normal, central position. It may be associated with high myopia or ectopia lentis, among other conditions. Medical or surgical intervention may be indicated for the treatment of corectopia in some cases.
Anisocoria can be caused by several things. You can be born with this condition or develop it later. You might experience it on an ongoing basis or only temporarily. In some cases, your doctor might diagnose an underlying medical condition or other cause of anisocoria.
A pupillary abnormality characterized by a poor pupillary light reaction, reduced accommodation, iris sector palsies, an enhanced pupillary response to near effort that results in a prolonged, "tonic" constriction, and slow pupillary redilation.
The 2022 edition of ICD-10-CM H57.05 became effective on October 1, 2021.
Adie syndrome (/ˈeɪdi/), sometimes known as Holmes–Adie syndrome or Adie's tonic pupil, is a neurological disorder characterized by a tonically dilated pupil that reacts slowly to light but shows a more definite response to accommodation (i.e., light-near dissociation). It is frequently seen in females with absent knee or ankle jerks and impaired sweating. It is named after the British neurologist William John Adie. It is caused by damage to the postganglionic fibers of the parasympathetic innervation of the eye, usually by a viral or bacterial infection which causes inflammation, and affects the pupil of the eye and the autonomic nervous system.
This means that while there is no exact mapping between this ICD10 code H57.051 and a single ICD9 code, 379.46 is an approximate match for comparison and conversion purposes.
Adie syndrome (/ˈeɪdi/), sometimes known as Holmes–Adie syndrome or Adie's tonic pupil, is a neurological disorder characterized by a tonically dilated pupil that reacts slowly to light but shows a more definite response to accommodation (i.e., light-near dissociation).
The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code H57.05. Click on any term below to browse the alphabetical index.
Typical patients with Adie tonic pupil present with incidental finding of anisocoria. Initially, the tonic pupil appears larger than the unaffected eye. However, it is important to note that the affected pupil tends to become smaller over time in the chronic Adie tonic pupil. Slit lamp examination of the pupil often shows sectoral palsy of the iris sphincter, with vermiform movements of the pupillary margin (AAO, 4). To correctly form a diagnosis, it is important to examine the degree of anisocoria in the light and in the dark and to examine the pupillary reaction to light and to accommodation. Examination reveals anisocoria greater in the light compared to in the dark indicating dysfunction of the parasympathetically innervated iris sphincter muscle in the affected eye ( large pupil is abnormal). Upon initial exam, patients with Adie tonic pupil will demonstrate increased pupillary constriction to accommodation compared to light, also known as the light-near dissociation. However, this finding is not specific to Adie tonic pupil and can also be found in patients with bilateral anterior afferent visual pathway disease, Argyll Robertson pupil, diabetes, or dorsal midbrain lesions (UpToDate, Lee, 5). The affected pupil can be distinguished from these other causes by testing the tonicity of the constriction. In Adie tonic pupil, due to the acetylcholine sensitivity developed during the reinnervation process, typically has a strong and tonic pupillary response with a slow and sustained relaxation after constriction compared to the normal eye (AAO, 4)
Disease. Adie tonic pupil, also known as Adie’s Syndrome or Holmes-Adie Syndrome, is a disorder in which there is parasympathetic denervation of the afflicted pupil resulting in a poor light but better and tonic near constriction. The affected pupil, either unilateral or bilateral typically initially appears abnormally dilated at rest ...
Damage to the parasympathetic ciliary ganglion may result in a tonic pupil. The parasympathetic fibers of the eye travel with the third cranial nerve to synapse at the ciliary ganglion before innervating the iris and the ciliary body. Typically, there are 30 times the number of axons supplying the ciliary body compared to those for the iris. After damage to the ciliary ganglion occurs, a process known as denervation supersensitivity occurs by which postsynaptic receptors are upregulated to facilitate reinnervation. However, the reinnervation process is often aberrant and fibers intended for the ciliary body may end up targeted to the pupil, a process known as aberrant regeneration (McGee, 171). As a result, patients develop Light-Near dissociation of the pupil by which the near accommodation produces more miosis compared to response to light, the reaction which is tonic. The tonic reaction is the result of the iris sphincter supersensitivity to acetylcholine. Roughly 80% of cases are unilateral but can become bilateral (4% chance per year). (Thompson, 618).
Patients with Adie tonic pupil may present with symptoms relating to their sphincter dysfunction such as ranging from photophobia and difficulty to adapting to the dark. Ciliary muscle dysfunction may also present with symptoms of blurry vision both for near and far vision and during transitions and anisocoria. (Hope Ross et al, 608)
However, patients may experience photophobia and blurry vision. Accommodative paresis may resolve with time, rang ing from months to years.
In Adie tonic pupil, due to the acetylcholine sensitivity developed during the reinnervation process , typically has a strong and tonic pupillary response with a slow and sustained relaxation after constriction compared to the normal eye (AAO, 4)
Adie tonic pupil has a prevalence of 2 per 1000 population and occurs in a 2.6:1 female to male ratio with an average age of onset of 32 years (Thompson, 590). While 80 percent of Adie tonic pupils are unilateral, bilateral involvement typically has an incidence of 4 percent per year. (Thompson 618)
The ICD code H570 is used to code Adie syndrome. Adie syndrome (/ˈeɪdi/), sometimes known as Holmes–Adie syndrome or Adie's tonic pupil, is a neurological disorder characterized by a tonically dilated pupil that reacts slowly to light but shows a more definite response to accommodation (i.e., light-near dissociation).
Specialty: Ophthalmology. MeSH Code: D015845. ICD 9 Code: 379.46.
Adie syndrome (/ˈeɪdi/), sometimes known as Holmes–Adie syndrome or Adie's tonic pupil, is a neurological disorder characterized by a tonically dilated pupil that reacts slowly to light but shows a more definite response to accommodation (i.e., light-near dissociation).
The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code H57.0. Click on any term below to browse the alphabetical index.