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Home/Diagnosis/ICD-10 Coding for Detached Retina

ICD-10 Coding for Detached Retina

H33.0
H33.2
H33.4

Complete ICD-10-CM coding and documentation guide for icd-10 coding for detached retina includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Retinal Detachment
Rhegmatogenous Retinal Detachment
Tractional Retinal Detachment
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Key Information: ICD-10 Coding for Detached Retina

Essential facts and insights about ICD-10 Coding for Detached Retina

Use ICD-10 code H33.0 for retinal detachment with retinal break, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Retinal detachment with retinal break

Non-Billable
H33.0
Non-Billable

Diagnostic Criteria

  • • Presence of a retinal break on examination

Applicable To

  • • Rhegmatogenous retinal detachment

Important Notes

  • • Ensure documentation specifies the type of break and laterality.

Serous retinal detachment

Non-Billable
H33.2
Non-Billable

Diagnostic Criteria

  • • Fluid accumulation without break
  • • No visible tear on fundoscopy

Applicable To

  • • Detachment without retinal break

Important Notes

  • • Document the absence of a break clearly.

Tractional retinal detachment

Non-Billable
H33.4
Non-Billable

Diagnostic Criteria

  • • Epiretinal membranes
  • • No retinal break

Applicable To

  • • Detachment due to traction from membranes

Important Notes

  • • Ensure documentation specifies traction as the cause.
Ancillary Codes

Additional codes that may be used with this diagnosis

E11.3

Diabetes with ophthalmic complications

Use when detachment is related to diabetic retinopathy.

Frequently Asked Questions

What is the ICD-10 code for a detached retina?

The ICD-10 code for a detached retina with a retinal break is H33.0. For serous detachment without a break, use H33.2, and for tractional detachment, use H33.4.

How do you code a diabetic retinal detachment?

For diabetic retinal detachment, sequence the diabetes code (E11.3) first, followed by the specific detachment code like H33.4 for tractional detachment.

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