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H35.139

Billable

Retinopathy of prematurity, stage 2, unspecified 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, but the specific eye(s) affected is not documented.

Coding Tips

  • Avoid using unspecified codes when laterality can be determined from medical records
  • Query provider documentation to clarify whether stage 2 ROP affects right eye, left eye, or both eyes

Code Hierarchy

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