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H35.162

Billable

Retinopathy of prematurity, stage 5, left eye

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

The most severe stage of retinopathy of prematurity affecting the left eye, where the retina has completely detached from the back of the eye, typically resulting in permanent vision loss.

Coding Tips

  • Stage 5 ROP represents total retinal detachment and is the most advanced stage; document carefully
  • Confirm left eye involvement is explicitly stated in the clinical documentation

Code Hierarchy

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