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H30.90

Billable

Unspecified chorioretinal inflammation, unspecified eye

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

What This Code Means

This code describes inflammation of the choroid and retina (the light-sensitive layers at the back of the eye) when the specific type and location are not documented. It is used when a patient has eye inflammation but the medical record lacks sufficient detail to assign a more specific diagnosis.

Coding Tips

  • Query the provider if additional documentation is available regarding the type of chorioretinal inflammation (such as focal, multifocal, or diffuse) or which eye is affected, as this would allow for a more specific code assignment
  • Verify whether the inflammation is secondary to another condition (such as syphilis, tuberculosis, or sarcoidosis) as these would require additional codes and may change the primary diagnosis code selection

Code Hierarchy

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