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H44.2D1

Billable

Degenerative myopia with foveoschisis, right eye

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

What This Code Means

This condition involves progressive nearsightedness (myopia) where the eye becomes abnormally elongated, causing the light-sensitive tissue at the back of the eye (retina) to thin and develop a split or separation at the macula (the area responsible for sharp central vision) in the right eye. This can lead to blurred or distorted vision and potential vision loss if left untreated.

Coding Tips

  • Verify laterality is documented as right eye (OD) in the medical record before assigning the '1' laterality indicator; confirm the diagnosis includes both degenerative myopia AND foveoschisis to justify this specific code
  • Do not confuse this code with H44.2D0 (left eye) or H44.2D2 (bilateral); always check the ophthalmology report or imaging studies for documentation of foveoschisis presence, as this distinguishes it from uncomplicated degenerative myopia codes

Code Hierarchy

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