Dissem chorioretin inflammation of posterior pole, unsp eye

This code describes a widespread inflammatory process affecting both the choroid and retina specifically within the posterior pole of the eye, where the macula and optic disc are located. It indicates an active, non-localized inflammation of these structures. The "unspecified eye" modifier means the laterality of the condition is not documented.

Use this code when documentation confirms a diagnosis of disseminated chorioretinal inflammation confined to the posterior pole, and the medical record does not specify whether it affects the right, left, or both eyes. This diagnosis typically arises from ophthalmoscopic examination revealing multiple inflammatory lesions in the posterior fundus.

• Do not use this code if the laterality (right, left, or bilateral) is clearly documented; instead, select a more specific code.
• Ensure documentation specifies "disseminated" and "posterior pole" to differentiate from localized or peripheral chorioretinitis.
• Consider additional codes for underlying causes (e.g., infectious agents) if identified and documented.