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H35.143

Billable

Retinopathy of prematurity, stage 3, bilateral

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 3 severity affecting both eyes.

Coding Tips

  • Bilateral stage 3 ROP is a serious condition requiring coordinated bilateral treatment planning
  • Ensure documentation clearly indicates bilateral involvement and treatment status for each eye

Code Hierarchy

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