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H35.121

Billable

Retinopathy of prematurity, stage 1, right eye

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

What This Code Means

Stage 1 retinopathy of prematurity in the right eye, representing a mild progression of abnormal retinal blood vessel development in premature infants with a thin white line visible at the vascular-avascular border.

Coding Tips

  • Stage 1 is characterized by a thin white line at the demarcation between vascularized and avascular retina; confirm this finding in documentation.
  • Ensure the stage and laterality are clearly documented to support accurate code selection.

Code Hierarchy

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