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Home/Diagnosis/ICD-10 Coding for Retinal Scar

ICD-10 Coding for Retinal Scar

H31.01
H31.09
H59.81

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

Also Known as:
Chorioretinal Scar
Macular Scar
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Key Information: ICD-10 Coding for Retinal Scar

Essential facts and insights about ICD-10 Coding for Retinal Scar

Use ICD-10 code H31.01 for macular scars of posterior pole, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Macular scars of posterior pole

Non-Billable
H31.01
Non-Billable

Diagnostic Criteria

  • • Presence of macular scar confirmed by imaging

Applicable To

  • • Postinflammatory macular scar
  • • Post-traumatic macular scar

Important Notes

  • • Ensure laterality is specified.

Other chorioretinal scars

Non-Billable
H31.09
Non-Billable

Applicable To

  • • Peripheral chorioretinal scars

Important Notes

  • • Document the specific location of the scar.

Postsurgical chorioretinal scars

Non-Billable
H59.81
Non-Billable

Applicable To

  • • Scars following retinal surgery

Important Notes

  • • Ensure surgical history is documented.
Ancillary Codes

Additional codes that may be used with this diagnosis

W90.2XXA

Laser exposure

Use if the scar is induced by laser exposure.

Frequently Asked Questions

What is the ICD-10 code for a macular scar?

The ICD-10 code for a macular scar is H31.01, used for postinflammatory or post-traumatic macular scars.

How do you code a postsurgical retinal scar?

For postsurgical retinal scars, use ICD-10 code H59.81, ensuring surgical history is documented.

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