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H35.54

Billable

Dystrophies primarily involving the retinal pigment epithelium

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

What This Code Means

A hereditary condition causing progressive degeneration of the retinal pigment epithelium, which is the layer of cells that supports and nourishes the light-sensitive tissue of the eye.

Coding Tips

  • •This code specifically indicates primary involvement of the retinal pigment epithelium layer, not the sensory retina itself
  • •Differentiate from H35.53, which affects the sensory retina rather than the pigment epithelium

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