Brawny scleritis, bilateral

This code signifies a severe, chronic inflammation of the sclera, the white outer layer of the eye, affecting both eyes. Brawny scleritis is characterized by a diffuse, nodular thickening and induration of the sclera, often leading to significant pain and potential vision impairment. It represents a more severe and often recalcitrant form of scleritis.

Apply this code when documentation explicitly states "brawny scleritis" and specifies involvement of both eyes. This diagnosis typically arises from an ophthalmological examination confirming the characteristic indurated, thickened scleral tissue bilaterally. Supporting documentation should include findings from slit-lamp examination and potentially imaging studies.

• Ensure the documentation clearly specifies "brawny" scleritis, not just general scleritis, and bilateral involvement.
• Distinguish from other forms of scleritis (e.g., nodular, diffuse, necrotizing) which have different codes.
• Code any underlying systemic conditions (e.g., autoimmune diseases) that may be associated with brawny scleritis as additional diagnoses.