H21.569 Pupillary abnormality, unspecified eye

The ICD-10-CM code for Pupillary abnormality, unspecified eye is H21.569 (FY2026). It is a billable, claim-ready diagnosis code.

Classification

Chapter

7: Diseases of the eye and adnexa (H00-H59)

Section

H15-H22: Disorders of sclera, cornea, iris and ciliary body (H15-H22)

Category H21

126 codes (97 billable)

FY2026 Status

Stable since FY2024

U.S. Hospital Utilization

• An estimated 120 U.S. inpatient stays in 2023 included H21.569 among the documented diagnoses.

Source: National Inpatient Sample (NIS), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, 2016–2023. National survey-weighted estimates.

Official Coding Guidelines

Glaucoma (TOC entry)

a. Glaucoma .............................................................................................................................. 48

Assigning glaucoma codes (use as many H40 codes as needed)

Assign as many codes from category H40, Glaucoma, as needed to identify the type of glaucoma, the affected eye, and the glaucoma stage.

Source: CMS — ICD-10-CM Official Guidelines for Coding and Reporting, FY2026

References

• CMS — ICD-10-CM Official Code Set and Guidelines, FY2026
• CDC/NCHS — ICD-10-CM Files and Browser Tool
• AHRQ — HCUP National Inpatient Sample, Frequencies by Diagnosis Code (2016–2023)

Cite This Page

Reference H21.569 with the canonical source and edition:

H21.569 — Pupillary abnormality, unspecified eye. ICD-10 Coding Pro (ICD-10-CM FY2026). https://icd10codingpro.com/codes/H21.569

Canonical URL: https://icd10codingpro.com/codes/H21.569