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H31.013

Billable

Macula scars of posterior pole (postinflammatory) (post-traumatic), bilateral

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

What This Code Means

Scarring of the macula (central area of the retina) in both eyes resulting from previous inflammation or trauma.

Coding Tips

  • •Confirm bilateral macula scarring is documented; this indicates significant visual impact in both eyes
  • •Specify whether the scarring is post-inflammatory or post-traumatic if documentation allows for greater specificity

Code Hierarchy

└H31Other disorders of choroid└H31.0Chorioretinal scars└H31.01Macula scars of posterior pole (postinflammatory) (post-traumatic)└H31.013Macula scars of posterior pole (postinflammatory) (post-traumatic), bilateral
└H31.013Macula scars of posterior pole (postinflammatory) (post-traumatic), bilateral

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