ICD-10 Code H21.513 – Anterior synechiae (iris), bilateral (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Anterior synechiae (iris), bilateral is H21.513.
2026 ICD-10-CM Diagnosis Code H21.513 – Anterior synechiae (iris), bilateral

What it is

H21.513 identifies adhesions where the iris is abnormally attached to the cornea or angle in both eyes. This code describes a bilateral anatomic finding, not a specific cause.

Clinical signs

Clinical features vary; refer to documentation. Findings may include visible iris adhesions on slit-lamp examination and possible distortion of the normal anterior chamber angle.

When to use this code

Use this code when the provider documents anterior synechiae in both eyes. It is appropriate for ophthalmology notes, exam findings, or problem lists that clearly state bilateral involvement. If laterality is not documented, check documentation before coding.

Do not use for

Do not use this code for unilateral anterior synechiae or for posterior synechiae. If the record only mentions glaucoma, cataract, or inflammation without documented synechiae, do not assume this diagnosis.

Coding tip

Confirm bilateral laterality in the assessment or exam note before assigning H21.513.

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