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H21.562 vs H21.569

H21.562 (Pupillary abnormality, left eye) compared with H21.569 (Pupillary abnormality, unspecified eye), from the official CMS tabular data. H21.562 and H21.569 code the same condition on opposite sides. MedCoder-derived

Relationship

Review

Laterality relationship

H21.562
Left
Pupillary abnormality, left eye
H21.569
Unspecified
Pupillary abnormality, 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. H21.562 and H21.569 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

H21.562Pupillary abnormality, left eyeH21.569Pupillary abnormality, unspecified eye
Billing statusBillableBillable
ClassificationH00-H59 — Diseases of the eye and adnexaH00-H59 — Diseases of the eye and adnexa
DefinitionPupillary abnormality, left eye is a billable ICD-10-CM diagnosis code (H21.562).Pupillary abnormality, unspecified eye is a billable ICD-10-CM diagnosis code (H21.569).

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