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H35.423

Billable

Microcystoid degeneration of retina, bilateral

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

What This Code Means

This condition involves the development of tiny fluid-filled sacs in the retina (the light-sensitive tissue at the back of the eye) that affect both eyes. It is a degenerative eye condition that can impact vision over time.

Coding Tips

  • Verify that the condition is documented as bilateral (affecting both eyes) before assigning this code; if only one eye is affected, use the unilateral code H35.421 instead
  • This code is typically used for chronic retinal conditions identified during ophthalmologic examination; ensure the documentation clearly describes microcystoid degeneration rather than other retinal cyst types

Code Hierarchy

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