H33.313
BillableHorseshoe tear of retina without detachment, bilateral
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
A horseshoe-shaped tear in the retina (the light-sensitive tissue at the back of the eye) that affects both eyes but has not yet caused the retina to separate from the eye wall. This type of tear has a characteristic horseshoe or U-shaped appearance and requires monitoring to prevent retinal detachment.
Coding Tips
- •Verify that the documentation specifically states 'without detachment' and confirms bilateral involvement before assigning this code; if detachment is present, use a different code from the H33.2 category
- •Ensure the ophthalmology report clearly identifies the tear as horseshoe-shaped and documents that both eyes are affected; if only one eye is involved, use the unilateral code H33.311 instead
Code Hierarchy
└H33Retinal detachments and breaks└H33.3Retinal breaks without detachment└H33.31Horseshoe tear of retina without detachment└H33.313Horseshoe tear of retina without detachment, bilateral
└H33.313Horseshoe tear of retina without detachment, bilateral