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H33.309

Billable

Unspecified retinal break, unspecified eye

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

What This Code Means

A break or tear in the retina (the light-sensitive tissue at the back of the eye) of unspecified location and eye, without the retina becoming detached.

Coding Tips

  • Use this code only when the specific type of retinal break cannot be determined; if the break type is known (horseshoe, round hole, etc.), use the more specific code.
  • Verify laterality documentation in the medical record; if specified, assign the appropriate eye-specific code instead.

Code Hierarchy

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