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H33.041 ICD-10-CM Code: Retinal detachment with retinal dialysis, right eye

H33.041 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · HCC Buddy coding tools

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Code lookupH33.041

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

H33.041

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Retinal detachment with retinal dialysis, right eye

The retina has separated from the eye wall in the right eye due to a retinal dialysis, which is a separation of the retina from the ciliary body.

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

Historical

Historical

Not used for CY2026 payment

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Inclusion Terms

Official
  • Rhegmatogenous retinal detachmentInherited from H33.0

Excludes 2

Official
  • certain conditions originating in the perinatal period (P04-P96)Inherited from H00-H59
  • certain infectious and parasitic diseases (A00-B99)Inherited from H00-H59
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)Inherited from H00-H59
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)Inherited from H00-H59
  • diabetes mellitus related eye conditions (E09.3-, E10.3-, E11.3-, E13.3-)Inherited from H00-H59
  • endocrine, nutritional and metabolic diseases (E00-E88)Inherited from H00-H59
  • injury (trauma) of eye and orbit (S05.-)Inherited from H00-H59
  • injury, poisoning and certain other consequences of external causes (S00-T88)Inherited from H00-H59
  • neoplasms (C00-D49)Inherited from H00-H59
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)Inherited from H00-H59
  • syphilis related eye disorders (A50.01, A50.3-, A51.43, A52.71)Inherited from H00-H59

Includes

Official

No Includes notes are included in this display for H33.041. Check the code and parent instructions in the Code Book.

Excludes 1

Official
  • detachment of retinal pigment epithelium (H35.72-, H35.73-)Inherited from H33, H33.0
  • serous retinal detachment (without retinal break) (H33.2-)Inherited from H33, H33.0

Code First

Official

No Code First sequencing instructions are included in this display for H33.041. Check the code and parent instructions in the Code Book.

Use Additional

Official

No Use Additional Code instructions are included in this display for H33.041. Check the code and parent instructions in the Code Book.

Code Also

Official

No Code Also instructions are included in this display for H33.041. Check the code and parent instructions in the Code Book.

Buddy Documentation Tip

HCC Buddy guidance
Retinal dialysis is a specific type of retinal detachment occurring at the retinal base
Confirm right eye laterality is documented before assigning this code

Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →

Is H33.041 an HCC code?

No. H33.041 is a billable ICD-10-CM code with no mapping under the CMS-HCC V28 or V24 community payment models, and none under the ESRD, Part D RxHCC, or HHS-HCC models.

Code
H33.041
Description
Retinal detachment with retinal dialysis, right eye
HCC (V28)
No CMS-HCC V28 mapping
RAF reference coefficient
Billable
Yes
Payment year
2026

Coder workflow notes

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

What This Code Means

H33.041 is the ICD-10-CM diagnosis code for retinal detachment with retinal dialysis, right eye. The retina has separated from the eye wall in the right eye due to a retinal dialysis, which is a separation of the retina from the ciliary body. H33.041 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).

H33.041 is a billable ICD-10-CM code, but the current payload does not show a mapping under the CMS-HCC V28 or V24 community payment models, and none under the ESRD, Part D RxHCC, or HHS-HCC models. Do not assign risk adjustment value from this page when no source-backed mapping is shown; verify the applicable model and payment year.

Retinal dialysis is a specific type of retinal detachment occurring at the retinal base.

HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for H33.041 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Retinal dialysis is a specific type of retinal detachment occurring at the retinal base
  • Confirm right eye laterality is documented before assigning this code

Child Codes

Code Hierarchy

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