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H35.20

Billable

Other non-diabetic proliferative retinopathy, unspecified eye

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

What This Code Means

This code describes abnormal blood vessel growth in the retina (the light-sensitive tissue at the back of the eye) that is not caused by diabetes. This condition can lead to vision problems if the new blood vessels bleed or cause scarring.

Coding Tips

  • •Verify the eye laterality - if documentation specifies right eye (H35.21), left eye (H35.22), or bilateral (H35.23), use the more specific code instead of the unspecified code H35.20
  • •Confirm the retinopathy is non-diabetic by reviewing the medical record; if diabetes is present, use diabetic retinopathy codes (E11.3x-E13.3x) instead

Code Hierarchy

└H35Other retinal disorders└H35.2Other non-diabetic proliferative retinopathy└H35.20Other non-diabetic proliferative retinopathy, unspecified eye
└H35.20Other non-diabetic proliferative retinopathy, unspecified eye

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