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H35.152

Billable

Retinopathy of prematurity, stage 4, left 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 4 severity (severe with partial retinal detachment) in the left eye.

Coding Tips

  • •Stage 4 ROP involves partial retinal detachment and carries high risk of permanent vision loss or blindness
  • •Stage 4 and 5 ROP are considered severe; document any surgical interventions (vitrectomy, scleral buckle) with separate procedure codes

Code Hierarchy

└H35Other retinal disorders└H35.1Retinopathy of prematurity└H35.15Retinopathy of prematurity, stage 4└H35.152Retinopathy of prematurity, stage 4, left eye
└H35.152Retinopathy of prematurity, stage 4, left eye

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