icd 10 code for pigment dispersion syndrome

Degeneration of iris (pigmentary), bilateral. H21.233 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 H21.233 became effective on October 1, 2018.

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What is the ICD 10 code for pigment dispersion syndrome of right eye?

Pigment dispersion syndrome of right eye; Right pigment dispersion syndrome; Right pigmentary iris degeneration; ICD-10-CM H21.231 is grouped within Diagnostic Related Group(s) (MS-DRG v 38.0): 124 Other disorders of the eye with mcc; 125 Other disorders of the eye without mcc; Convert H21.231 to ICD-9-CM. Code History

What is the ICD 10 code for pigmentary Iris degeneration?

Right pigment dispersion syndrome Right pigmentary iris degeneration ICD-10-CM H21.231 is grouped within Diagnostic Related Group (s) (MS-DRG v38.0): 124 Other disorders of the eye with mcc

What is the pathophysiology of pigment dispersion syndrome?

Pigment dispersion syndrome. Pigment dispersion syndrome ( PDS) is an eye disorder that can lead to a form of glaucoma known as pigmentary glaucoma. It takes place when pigment cells slough off from the back of the iris and float around in the aqueous humor. Over time, these pigment cells can accumulate in the anterior chamber in such a way...

What is the ICD 10 code for pigmentary glaucoma?

Pigmentary glaucoma. H40.13 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. The 2019 edition of ICD-10-CM H40.13 became effective on October 1, 2018.

What is pigment dispersion glaucoma?

Pigmentary glaucoma and PDS occur when pigment is released from the iris pigment epithelium due to rubbing of the posterior iris against the anterior lens zonules. The disease is more prevalent in males, and typically presents in the 3rd-4th decade of life.

What is the ICD 10 code for Waardenburg syndrome?

Causes of Hearing Loss, with ICD-10 codesICD-10CauseQ87.0Stickler syndromeQ75.4Treacher Collins syndromeM85.2Van Buchem syndromeE70.8Waardenburg syndrome, types 1-4129 more rows

What is Waardenburg syndrome?

Waardenburg syndrome is a group of conditions passed down through families. The syndrome involves deafness and pale skin, hair, and eye color. Broad nasal bridge, or widening of the base of the nose, is a relative term.

What is Wolfram syndrome?

Wolfram syndrome is an inherited condition that is typically associated with childhood-onset insulin-dependent diabetes mellitus and progressive optic atrophy. In addition, many people with Wolfram syndrome also develop diabetes insipidus and sensorineural hearing loss.

When to use unspecified code?

Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition.

What are the different types of iris?

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code: 1 Acquired heterochromia of iris 2 Age-related changes in iris 3 Atrophic iris 4 Degeneration of iris 5 Iris and ciliary body degeneration 6 Pigment dispersion syndrome 7 Translucency of iris 8 Vitiligo iridis

What is the term for pigment dispersion syndrome?

Pigment dispersion syndrome (PDS), a bilateral disorder, occurs when pigment is lost from the posterior surface of the iris and is redistributed to the structures of the anterior and posterior chambers. Released pigment can deposit in the trabecular meshwork to cause increased intraocular pressure and pigmentary glaucoma. Since onset of PDS can occur as early as the second decade of life, significant glaucomatous damage may occur before the patient presents to the ophthalmologist.

Where does pigment deposition occur in PDS?

Unlike other causes of pigment liberation, however, pigment deposition in PDS can occur at the insertion of lens zonular fibers into the posterior lens capsule and cause a pattern known as a Zentmayer ring or Scheie stripe.

What is the whitish-gray flakes of exfoliation material at the pupillary margin of

The presence of whitish-gray flakes of exfoliation material at the pupillary margin of the iris and anterior lens capsule is diagnostic for pseudoexfoliative glaucoma and lacking in PDS.

What happens when pigment accumulates in the trabecular meshwork?

When liberated pigment accumulates in the trabecular meshwork and limits aqueous humor outflow, increased intraocular pressure and pigmentary glaucoma may develop. Cases of PDS are most often sporadic although genetic studies suggest an autosomal dominant inheritance pattern with linkage to chromosome 7. 1.

What happens to the posterior iris in PDS?

In eyes with PDS, a concave posterior iris surface mechanically rubs against anteriorly oriented zonular fibers to release iris pigment granules into the anterior chamber. This concave iris position is thought to occur as a result of reverse pupillary block where higher pressure in the anterior chamber leads to posterior iris bowing, contact with anterior lens zonules and pigment release. Aqueous convection currents then disperse these pigment granules to structures of the anterior chamber, including the corneal endothelium, iris surface and trabecular meshwork. When liberated pigment accumulates in the trabecular meshwork and limits aqueous humor outflow, increased intraocular pressure and pigmentary glaucoma may develop.

How does pilocarpine help with pigmentary glaucoma?

Miotics, such as pilocarpine, are believed to have a twofold advantage in treating pigmentary glaucoma by: 1) decreasing IOP by allowing greater aqueous outflow and 2) shifting the iris forward to increase pupillary block and decrease iris-zonular apposition and pigment release.

Why do PDS patients need eye exams?

Therefore, all patients with PDS should undergo periodic eye examinations to ensure early diagnosis and management of pigmentary glaucoma. The ophthalmologist may examine these patients on an annual basis if they demonstrate normal visual fields, optic nerve head examination and intraocular pressures.

What is pigment dispersion?

Pigment-dispersion syndrome is an eye disorder that occurs when pigment granules that normally adhere to the back of the iris (the colored part of the eye) flake off into the clear fluid produced by the eye ( aqueous humor ). These pigment granules may flow towards the drainage canals of the eye, slowly clogging them and raising ...

Can pigment dispersion be treated with laser surgery?

The condition may be sporadic or follow an autosomal dominant pattern of inheritance with reduced penetrance . At least one gene locus on chromosome 7 has been identified. [2] [3] Pigment-dispersion syndrome can be treated with eye drops or other medications. [1] [3] In some cases, laser surgery may be performed. [1]

What is the name of the eye disorder that causes pigment to accumulate in the anterior chamber of the eye?

Pigment dispersion syndrome. Pigment dispersion syndrome ( PDS) is an eye disorder that can lead to a form of glaucoma known as pigmentary glaucoma. It takes place when pigment cells slough off from the back of the iris and float around in the aqueous humor. Over time, these pigment cells can accumulate in the anterior chamber in such a way ...

What is the name of the eye disorder that causes pigmentary glaucoma?

Ophthalmology. Pigment dispersion syndrome ( PDS) is an eye disorder that can lead to a form of glaucoma known as pigmentary glaucoma. It takes place when pigment cells slough off from the back of the iris and float around in the aqueous humor.

What is it called when the optic nerve is damaged?

When the pressure is great enough to cause damage to the optic nerve, this is called pigmentary glaucoma. As with all types of glaucoma, when damage happens to the optic nerve fibers, the vision loss that occurs is irreversible and painless.