H35.159
BillableRetinopathy of prematurity, stage 4, unspecified eye
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
A serious eye condition in premature infants where abnormal blood vessels develop in the retina and have reached stage 4 (severe scarring), but the specific eye affected is not documented.
Coding Tips
- •Use this code only when laterality cannot be determined from medical record documentation
- •Query provider if possible to clarify which eye(s) are affected for more specific coding
Code Hierarchy
└H35Other retinal disorders└H35.1Retinopathy of prematurity└H35.15Retinopathy of prematurity, stage 4└H35.159Retinopathy of prematurity, stage 4, unspecified eye
└H35.159Retinopathy of prematurity, stage 4, unspecified eye