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H35.453

Billable

Secondary pigmentary degeneration, 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 breakdown and loss of pigment in the light-sensitive tissue at the back of both eyes (retina), occurring as a result of another eye disease or condition. The pigment loss can affect vision and is present in both eyes.

Coding Tips

  • •Verify that the pigmentary degeneration is documented as secondary (caused by another condition) rather than primary, and confirm bilateral involvement is documented in the medical record
  • •Investigate and code the underlying cause of the secondary degeneration if documented, as this provides more complete clinical information and may affect treatment decisions

Code Hierarchy

└H35Other retinal disorders└H35.4Peripheral retinal degeneration└H35.45Secondary pigmentary degeneration└H35.453Secondary pigmentary degeneration, bilateral
└H35.453Secondary pigmentary degeneration, bilateral

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