Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerBilling CodesDisorders of sclera, cornea, iris and ciliary bodyICD-10-CM h22-disorders-of-iris-and-ciliary-body
    Ask Trek AI about this page

    ICD-10-CM Code For Disorders Of Iris And Ciliary Body In Diseases Classified Elsewhere: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group H22 includes diagnoses for disorders of the iris and ciliary body that arise in the context of other diseases, such as inflammatory, traumatic, or systemic conditions affecting the anterior segment of the eye. These ICD-10-CM diagnosis codes are used to document clinical scenarios involving involvement of the iris or ciliary body, capturing disease severity, organ involvement, or clinical complexity relevant to this group. Accurate coding within the ICD-10-CM H22 group supports proper claim adjudication, complete clinical documentation, and appropriate reimbursement.

    Customize your policy alerts

    Sign up for ICD-10-CM Code For Disorders Of Iris And Ciliary Body In Diseases Classified Elsewhere: Group Overview policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    ICD-10-CM H22: Disorders Of Iris And Ciliary Body In Diseases Classified Elsewhere Overview

    The ICD-10-CM H22 group represents disorders of the iris and ciliary body that occur as manifestations of other systemic or ocular diseases. These diagnoses affect anterior segment structures of the eye and can influence vision, intraocular pressure, and ocular inflammation. Accurate coding is important to reflect clinical complexity and support appropriate reimbursement for eye care services.

    Table of contents

    Progress1 / 6

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    When to Use

    Use a code from this group when the clinical documentation indicates that iris or ciliary body pathology is secondary to another specified disease process. Apply these codes to capture the involvement of anterior segment structures in the context of systemic disease, trauma, or other primary ocular conditions.

    ICD-10-CM Codes

    1 rows

    ICD-10-CM CodeDescription
    H22Disorders of iris and ciliary body in diseases classified elsewhere

    DRG Codes

    2 rows

    DRG CodeDescription
    124Other Disorders of the Eye with MCC or Thrombolytic Agent
    125Other Disorders of the Eye without MCC

    Typical Clinical Scenarios

    • An elderly patient with a history of uveitis secondary to systemic autoimmune disease presents to ophthalmology with new onset photophobia, blurred vision, and irregular pupillary shape; slit-lamp exam shows synechiae and inflammatory membrane involving the iris and ciliary body during a flare. A diagnosis from this group is assigned to capture the iris and ciliary body inflammatory involvement as part of the systemic condition. Typical codes: H22
    • A middle-aged patient develops chronic angle-closure glaucoma after prior ocular trauma and repair, now reporting gradual peripheral vision loss and persistent anterior chamber abnormalities on examination; gonioscopy and imaging reveal scarring and adhesion of the iris and ciliary body contributing to secondary ocular hypertension. The clinician assigns a code from this group to document the disorder of the iris/ciliary body that is causing the glaucoma. Typical codes: H22
    • A young adult presents to the emergency department after blunt facial trauma with acute eye pain, decreased visual acuity, and an irregular, nonreactive pupil; evaluation finds traumatic iridodialysis and ciliary body damage requiring urgent ophthalmic consultation. A code from this group is used to record the traumatic disorder of the iris and ciliary body as the principal ocular injury. Typical codes: H22

    Related Codes

    H15-DISORDERS-OF-SCLERA

    ICD-10-CM Code For Disorders Of Sclera: Group Overview

    H16-KERATITIS-CORNEAL-DISORDERS

    ICD-10-CM Code For Keratitis: Group Overview

    H17-CORNEAL-SCARS-AND-OPACITIES

    ICD-10-CM Code For Corneal Scars And Opacities: Group Overview

    H18-OTHER-DISORDERS-OF-CORNEA

    ICD-10-CM Code For Other Disorders Of Cornea: Group Overview

    H20-IRIDOCYCLITIS

    ICD-10-CM Code For Iridocyclitis: Group Overview

    H21-OTHER-DISORDERS-OF-IRIS

    ICD-10-CM Code For Other Disorders Of Iris And Ciliary Body: Group Overview

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
    Published by

    Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.