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H30.1 ICD-10-CM Code: Disseminated chorioretinal inflammation

ICD-10-CM Code View

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FY 2026 Apr update / Diseases of the eye and adnexa (H00-H59) / Disorders of choroid and retina (H30-H36)

H30.1

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Disseminated chorioretinal inflammation

Disseminated chorioretinal inflammation

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
H30Chorioretinal inflammation
H30.1Disseminated chorioretinal inflammation

Inclusion Terms

Official
  • Disseminated chorioretinitis
  • Disseminated choroiditis
  • Disseminated retinitis
  • Disseminated retinochoroiditis

Excludes 2

Official
  • exudative retinopathy (H35.02-)

Related Child Codes

Official
H30.10Unspecified disseminated chorioretinal inflammation
H30.11Disseminated chorioretinal inflammation of posterior pole
H30.12Disseminated chorioretinal inflammation, peripheral
H30.13Disseminated chorioretinal inflammation, generalized
H30.14Acute posterior multifocal placoid pigment epitheliopathy

Includes

Official

ICD-10-CM does not list Includes notes for H30.1 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for H30.1 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for H30.1 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for H30.1 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for H30.1 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

Coder workflow notes

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What This Code Means

H30.1 is the ICD-10-CM diagnosis code for disseminated chorioretinal inflammation. H30.1 sits in the ICD-10-CM chapter for diseases of the eye and adnexa (h00-h59), within the section covering disorders of choroid and retina (h30-h36).

Header codes like H30.1 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at H30.1's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for H30.1 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 2, Not included here, may code separately

  • exudative retinopathy (H35.02-)

Child Codes

Code Hierarchy

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