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ICD-10-CM Code H36
Retinal disorders in diseases classified elsewhere

BILLABLE
Billable Code
Billable codes are sufficient justification for admission to an acute care hospital when used a principal diagnosis.
Manifestation
Manifestation Code
Certain ICD-10-CM codes identify an underlying condition known as an etiology code. Conditions that arise as a result of an underlying condition (etiology), are referred to as Manifestations. In ICD-10-CM, etiology codes must be coded first, followed by the manifestation codes. When a condition requires etiology and manifestation codes, there is a "use additional code" note following the etiology code and a "code first" note following the manifestation code.
| ICD-10 from 2011 - 2016

H36 is a billable ICD code used to specify a diagnosis of retinal disorders in diseases classified elsewhere. A 'billable code' is detailed enough to be used to specify a medical diagnosis.


The ICD code H36 is used to code Diabetic retinopathy

Diabetic retinopathy ([ˌrɛtnˈɑpəθi]), also known as diabetic eye disease, is when damage occurs to the retina due to diabetes. It can eventually lead to blindness.

Specialty: Ophthalmology
MeSH Code: D003930
ICD 9 Code: 250.5

Image of fundus showing scatter laser surgery for diabetic retinopathy

Source: Wikipedia

Coding Notes for H36 Info for medical coders on how to properly use this ICD-10 code

codeFirst:
Underlying disease, such as:
Lipid storage disorders See code E75.-
Sickle-cell disorders See code D57.-
Code Type-1 Excludes:
Type-1 Excludes
Type-1 Excludes mean the conditions excluded are mutually exclusive and should never be coded together. Excludes 1 means "do not code here."
Arteriosclerotic retinopathy - instead, use code H35.0-
Diabetic retinopathy (E08.3-, E09.3-, E10.3-, E11.3-, E13.3-) - instead, use code E08.3-

MS-DRG Mapping

  • DRG Group #124-125 - Other disorders of the eye with MCC.
  • DRG Group #124-125 - Other disorders of the eye without MCC.

Related Concepts SNOMET-CT

  • Deafmutism-retinal degeneration syndrome (disorder)

Coding Advice SNOMET-CT

  • Consider additional code to identify specific condition or disease

Equivalent ICD-9 Codes GENERAL EQUIVALENCE MAPPINGS (GEM)

Retinal dystrophy in systemic or cerebroretinal lipidoses (approximate match)
Retinal dystrophy in other systemic disorders and syndromes (approximate match)

This is the official approximate match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that while there is no exact mapping between this ICD10 code H36 and a single ICD9 code, 362.72 is an approximate match for comparison and conversion purposes.


** This Document Provided By ICD.Codes **
Source: http://icd.codes/icd10cm/H36