H35.131
BillableRetinopathy of prematurity, stage 2, right eye
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
An eye condition in premature infants where abnormal blood vessels develop in the retina, classified as stage 2 severity (more advanced than stage 1) in the right eye.
Coding Tips
- •Stage 2 ROP shows a demarcation line between vascularized and avascular retina; progression from stage 1 requires careful monitoring
- •Document the specific stage clearly as it determines urgency of ophthalmology referral and treatment decisions
Code Hierarchy
└H35Other retinal disorders└H35.1Retinopathy of prematurity└H35.13Retinopathy of prematurity, stage 2└H35.131Retinopathy of prematurity, stage 2, right eye
└H35.131Retinopathy of prematurity, stage 2, right eye