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H36 Non-Billable Code

Retinal disorders in diseases classified elsewhere

Effective From: 10/01/2016
Effective To: 09/30/2023
⚠️

This Code Has Been Retired

Code H36 is no longer valid for claims submission as of 09/30/2023.

Chapter Classification

Chapter 7 Diseases of the eye and adnexa (H00-H59)

Section Detail

H30-H36 Disorders of choroid and retina (H30-H36)

Coding Guidelines & Notes

codeFirst
  • underlying disease, such as:
  • lipid storage disorders (E75.-)
  • sickle-cell disorders (D57.-)
excludes1
  • arteriosclerotic retinopathy (H35.0-)
  • diabetic retinopathy (E08.3-, E09.3-, E10.3-, E11.3-, E13.3-)

More Specific Diagnosis Codes

This code is not billable as it requires a higher level of specificity. Select a more specific code below.

  • H36.8 - Other retinal disorders in diseases classified elsewhere

OPPS Editing Flags

External Cause No
Mental Health No
Manifestation (Edit 89) Yes
Code First Applicable ?This code represents a manifestation of an underlying disease. The underlying condition must be coded first as the principal diagnosis. No
Unacceptable PDX (Edit 113) No

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