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H21.261 vs H21.269

H21.261 (Iris atrophy (essential) (progressive), right eye) compared with H21.269 (Iris atrophy (essential) (progressive), unspecified eye), from the official CMS tabular data. H21.261 and H21.269 code the same condition on opposite sides. MedCoder-derived

Relationship

Review

Laterality relationship

H21.261
Right
Iris atrophy (essential) (progressive), right eye
H21.269
Unspecified
Iris atrophy (essential) (progressive), unspecified eye

Same condition; these differ only in which side is documented.

These codes share a category and title and differ only in the side affected. The documentation decides which applies, and a bilateral code is reported only where the code set provides one.

Source: ICD-10-CM tabular list (laterality variant derived from the code title)

Can these codes be reported together?

Same condition, opposite side. H21.261 and H21.269 name the same condition on opposite sides of the body.

Same category and title, differing only in which side is affected — the documentation decides which one applies, and a bilateral code is reported only where the code set provides one.

Side by side

H21.261Iris atrophy (essential) (progressive), right eyeH21.269Iris atrophy (essential) (progressive), unspecified eye
Billing statusBillableBillable
ClassificationH00-H59 — Diseases of the Eye and Adnexa (H00-H59)H00-H59 — Diseases of the Eye and Adnexa (H00-H59)
DefinitionIris atrophy (essential) (progressive), right eye is a billable ICD-10-CM diagnosis code (H21.261).Iris atrophy (essential) (progressive), unspecified eye is a billable ICD-10-CM diagnosis code (H21.269).

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources