Unspecified chorioretinal inflammation, bilateral

This code signifies inflammation affecting both the choroid and retina, where the specific type or cause of the inflammation has not been identified. It indicates a generalized inflammatory process involving these posterior segments of both eyes without further diagnostic specificity.

Use this code when the physician documents chorioretinal inflammation affecting both eyes, but the etiology (e.g., infectious, autoimmune) or specific type of inflammation remains unknown or unspecified. Documentation should clearly state "bilateral" and "unspecified" regarding the nature of the chorioretinitis.

• Avoid using this code if the laterality is known (e.g., right eye, left eye) or if a more specific type of chorioretinal inflammation is documented.
• Always query the provider for more specific documentation regarding the type and laterality of the chorioretinal inflammation if available.
• Consider sequencing this code after any underlying systemic condition that may be causing the chorioretinal inflammation, if known.