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H35.433

Billable

Paving stone degeneration of retina, bilateral

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

What This Code Means

A condition where both eyes develop a pattern of retinal degeneration that resembles paving stones, typically affecting the outer layers of the retina. This 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 H35.431 or H35.432 instead
  • This code is typically used in ophthalmology or retinal specialty settings; ensure the documentation clearly describes the paving stone pattern appearance on retinal examination

Code Hierarchy

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