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H33.01 ICD-10-CM Code: Retinal detachment with single break

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

H33.01

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

Retinal detachment with single break

Retinal detachment with single break

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
H33Retinal detachments and breaks
H33.0Retinal detachment with retinal break
H33.01Retinal detachment with single break

Inclusion Terms

Official
  • Rhegmatogenous retinal detachment

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for H33.01 in this effective period.

Related Child Codes

Official
H33.011Retinal detachment with single break, right eye
H33.012Retinal detachment with single break, left eye
H33.013Retinal detachment with single break, bilateral
H33.019Retinal detachment with single break, unspecified eye

Includes

Official

ICD-10-CM does not list Includes notes for H33.01 in this effective period.

Excludes 1

Official
  • serous retinal detachment (without retinal break) (H33.2-)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for H33.01 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for H33.01 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for H33.01 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

H33.01 is the ICD-10-CM diagnosis code for retinal detachment with single break. H33.01 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 H33.01 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 H33.01'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 H33.01 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Child Codes

Code Hierarchy

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