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H31.092

Billable

Other chorioretinal scars, left eye

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

What This Code Means

This code describes scarring of the choroid and retina (the light-sensitive layers at the back of the eye) in the left eye that doesn't fit into other specific scar categories. These scars can result from inflammation, injury, or previous eye disease and may affect vision depending on their location and size.

Coding Tips

  • Verify the scars are documented as 'other' type and specifically affecting the left eye; if bilateral, code both eyes separately using H31.091 for the right eye
  • Ensure documentation specifies the cause of scarring (e.g., post-inflammatory, post-traumatic, post-surgical) as this may support medical necessity and help with clinical context

Code Hierarchy

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