Steroid responder, unspecified eye

This code signifies an ocular condition where intraocular pressure (IOP) significantly increases in response to corticosteroid administration, without further specification of the affected eye. It indicates a patient's susceptibility to steroid-induced glaucoma or ocular hypertension.

Use this code when documentation clearly states "steroid responder" or "steroid-induced ocular hypertension" without specifying laterality. This typically occurs after a trial of topical or systemic steroids for an inflammatory eye condition. Documentation should confirm the elevated IOP is directly attributable to steroid use.

• Always attempt to clarify laterality (right, left, or bilateral) with the provider if not documented, as more specific codes exist (H40.041, H40.042, H40.043).
• This code is for the response to steroids, not the underlying condition for which steroids were prescribed. Code the underlying condition separately.
• Do not confuse with codes for primary open-angle glaucoma (H40.1x) unless the steroid response has progressed to a definitive glaucoma diagnosis.