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H35.9

Billable

Unspecified retinal disorder

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

What This Code Means

This code describes a problem with the retina (the light-sensitive tissue at the back of the eye) when the specific type of disorder cannot be determined or is not documented. It is used when a retinal condition is present but lacks sufficient detail for a more specific diagnosis.

Coding Tips

  • Use this code only when the provider documentation does not specify the type of retinal disorder; always query the provider for more specific diagnosis codes when possible, as H35.9 is considered non-specific
  • Review the medical record for any ophthalmology reports or imaging results that might clarify the specific retinal condition, as this could lead to a more precise code selection

Code Hierarchy

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