H35.169
BillableRetinopathy of prematurity, stage 5, unspecified 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 with complete retinal detachment, but the specific eye(s) affected is not documented.
Coding Tips
- •Use only when laterality is truly unspecified in the medical record
- •Attempt to clarify with provider documentation which eye(s) have stage 5 ROP
Code Hierarchy
└H35Other retinal disorders└H35.1Retinopathy of prematurity└H35.16Retinopathy of prematurity, stage 5└H35.169Retinopathy of prematurity, stage 5, unspecified eye
└H35.169Retinopathy of prematurity, stage 5, unspecified eye