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H35.469

Billable

Secondary vitreoretinal degeneration, unspecified eye

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

What This Code Means

Deterioration of the light-sensitive tissue at the back of the eye (retina) and the gel-like substance filling the eye (vitreous) that has developed as a result of another eye condition or disease, but the specific eye affected is not documented.

Coding Tips

  • Use this code only when the eye affected (right, left, or bilateral) is not specified in the medical record
  • Query the provider if possible to determine laterality for more specific coding

Code Hierarchy

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