H21.43
✓ BillablePupillary membranes, bilateral
Diseases of the eye and adnexa (H00-H59)
❌ Excludes1
inheritedRules inherited from parent codes in the hierarchy.
- • congenital pupillary membranes (Q13.8)
Clinical Description
ICD-10-CM code H21.43 represents pupillary membranes, bilateral. This code falls under the Diseases of the eye and adnexa (H00-H59) classification. It is a billable/specific code valid for HIPAA-covered transactions as of October 1, 2025 (FY2026). This code can be used to indicate a diagnosis for reimbursement purposes on insurance claims.
This is a 6-character code at the 5th level of specificity. This is the most specific code available in this subcategory. Coders should note that H21.43 has 1 Excludes1 restriction(s) — codes that cannot be reported together on the same claim.
Frequently Asked Questions
What is ICD-10 code H21.43?
ICD-10-CM code H21.43 is "Pupillary membranes, bilateral". It belongs to the category: Diseases of the eye and adnexa (H00-H59).
Is H21.43 a billable ICD-10 code?
Yes, H21.43 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
What codes are excluded with H21.43?
H21.43 has 1 Excludes1 rule(s). These codes are mutually exclusive and cannot be coded together on the same claim.
Can H21.43 be coded with other codes?
H21.43 has 1 Excludes2 note(s). These conditions can be coded together if both are documented in the patient record.
Related Codes in H21.4
Other codes in the same category that may be relevant for differential coding:
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Data Source
CMS ICD-10-CM 2026 Tabular List
Updated October 1, 2025 (FY2026)