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H31.019

Billable

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

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) resulting from previous inflammation or trauma in an eye where the specific eye location is not documented.

Coding Tips

  • Use this code only when eye laterality is not specified; attempt to determine from clinical documentation if right eye, left eye, or bilateral coding applies
  • Macula involvement is clinically significant; ensure the eye location is clarified for proper patient care tracking

Code Hierarchy

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