H35.149
BillableRetinopathy of prematurity, stage 3, unspecified eye
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
This is a condition affecting the blood vessels in the retina (back of the eye) of premature infants, where abnormal blood vessel growth has progressed to stage 3, the most advanced stage before potential vision loss. The specific eye affected is not documented in the medical record.
Coding Tips
- •When the eye laterality is known (right, left, or bilateral), use the more specific codes H35.141, H35.142, or H35.143 instead of the unspecified code H35.149
- •This code requires documentation of the stage of retinopathy of prematurity; verify the clinical documentation clearly indicates stage 3 before assigning this code
Code Hierarchy
└H35Other retinal disorders└H35.1Retinopathy of prematurity└H35.14Retinopathy of prematurity, stage 3└H35.149Retinopathy of prematurity, stage 3, unspecified eye
└H35.149Retinopathy of prematurity, stage 3, unspecified eye