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H30.013

Billable

Focal chorioretinal inflammation, juxtapapillary, bilateral

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

This is an inflammation of the choroid and retina (the light-sensitive layers at the back of the eye) that occurs on both sides of the eye, specifically in the area next to the optic nerve head. It causes localized swelling and irritation in this specific region of both eyes.

Coding Tips

  • Verify that the inflammation is documented as bilateral (affecting both eyes) and juxtapapillary (near the optic disc) before assigning this code; if only one eye is affected, use the unilateral code instead
  • This code is more specific than general chorioretinal inflammation codes, so ensure the clinical documentation clearly identifies the juxtapapillary location and bilateral nature to support accurate coding

Code Hierarchy

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