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H35.00

Billable

Unspecified background retinopathy

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

What This Code Means

Early-stage damage to the retina from diabetes or high blood pressure that has not been further specified.

Coding Tips

  • •Background retinopathy is typically the earliest stage of diabetic retinopathy; verify if a more specific type is documented
  • •Always link to the underlying condition (diabetes, hypertension) with appropriate codes

Code Hierarchy

└H35Other retinal disorders└H35.0Background retinopathy and retinal vascular changes└H35.00Unspecified background retinopathy
└H35.00Unspecified background retinopathy

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