Goniosynechiae, bilateral

This code describes the presence of adhesions between the iris and the trabecular meshwork in both eyes, a condition known as goniosynechiae. These adhesions can impede aqueous humor outflow, potentially leading to elevated intraocular pressure and glaucoma.

Use this code when documentation specifies goniosynechiae affecting both eyes, typically identified during gonioscopy. This diagnosis is often associated with inflammatory conditions, trauma, or previous ocular surgeries.

• Ensure documentation explicitly states "bilateral" involvement; otherwise, use the appropriate unilateral code.
• Always code any underlying cause of the goniosynechiae (e.g., uveitis, trauma) as a primary or secondary diagnosis.
• Distinguish from peripheral anterior synechiae (PAS) which are a broader category of iris-corneal adhesions; goniosynechiae specifically refer to adhesions within the angle.