panuveitis

DEFINITION of panuveitis

Panuveitis is a severe form of intraocular inflammation characterized by simultaneous involvement of both the anterior segment (iris and ciliary body) and posterior segment (choroid and retina) of the uvea, along with inflammation of the vitreous humor. This represents diffuse inflammation without a specific focal point and is considered a serious threat to vision due to its extensive nature. Common causes include systemic infections (tuberculosis, syphilis), autoimmune conditions (Vogt-Koyanagi-Harada syndrome, Behçet’s disease, sarcoidosis), sympathetic ophthalmia, and malignancies, though many cases remain idiopathic. If the etiology is documented, code the underlying cause first (code first/etiology-manifestation convention may apply depending on cause): sarcoidosis → D86.83]] (sarcoid iridocyclitis) — note sarcoid uveitis has its own code Behçet’s disease → [[M35.2 Tuberculosis → A18.54 Syphilis → A52.71 Toxoplasmosis → B58.01 VKH (Vogt-Koyanagi-Harada) → H20.82- Infectious vs. non-infectious — Infectious panuveitis should be coded to the infectious organism when identified, with the uveitis as a manifestation. Complications to capture additionally: Cystoid macular edema (H35.81-) Epiretinal membrane (ERM) (H35.37-) hypotony (H44.40-) Secondary glaucoma (H40.4- or H40.5-) Posterior synechiae / iris changes

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ETYMOLOGY of panuveitis

greek - Pan- (Greek: πᾶν) = all, entire, whole

• Uvea (Latin: uva) = grape (referring to the pigmented vascular layer that resembles a peeled grape)
• -itis (Greek: -ῖτις) = inflammation

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ICD-10 Codes (Full 7-character codes)

• H44.111 - Panuveitis, right eye
• H44.112 - Panuveitis, left eye
• H44.113 - Panuveitis, bilateral
• H44.119 - Panuveitis, unspecified eye

Note: H44.11 alone is non-billable; requires 7th character for laterality

Related CPT Codes (Common procedures for diagnosis/treatment)

• 92201 - Ophthalmoscopy, extended (with retinal drawing and scleral depression)
• 92250 - Fundus photography with interpretation and report
• 67028 - Intravitreal injection of pharmacologic agent
• 67036 - Vitrectomy, mechanical, pars plana approach (for diagnostic purposes)
• 67039 - Vitrectomy with endolaser photocoagulation
• 67040 - Vitrectomy with endophthalmitis treatment
• 92002-92014 - Ophthalmological examination codes (new/established patient)

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DERIVATIONS of panuveitis

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Query functionality

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Med roots Appendix A Prefixes Appendix B Combining Forms Appendix C Suffixes Appendix D Suffix forms