Unspecified scleritis, bilateral

This code signifies inflammation of the sclera, the white outer layer of the eye, affecting both eyes, without further specification of the type or cause of the scleritis. It indicates a general inflammatory process of the sclera in both eyes when the specific form of scleritis is not documented.

Use this code when the physician's documentation clearly states "scleritis, bilateral" but does not specify the type (e.g., anterior, posterior, necrotizing, nodular) or the underlying etiology. This code is appropriate when the clinical picture points to bilateral scleral inflammation, but further diagnostic workup or specialist consultation is pending or has not yielded a more specific diagnosis.

• Avoid using this code if a more specific type of scleritis (e.g., H15.013 for anterior scleritis, bilateral) is documented.
• Ensure the documentation explicitly states "bilateral" involvement; otherwise, a unilateral or unspecified eye code should be used.
• Query the provider for more specific documentation if the type of scleritis is known but not explicitly stated.