2024 ICD-10-CM Diagnosis Code H36

Retinal disorders in diseases classified elsewhere

ICD-10-CM Code:
H36
ICD-10 Code for:
Retinal disorders in diseases classified elsewhere
Is Billable?
Not Valid for Submission
Chronic Condition Indicator: [1]
Chronic
Code Navigator:

Code Classification

  • Diseases of the eye and adnexa
    (H00–H59)
    • Disorders of choroid and retina
      (H30-H36)
      • Retinal disorders in diseases classified elsewhere
        (H36)

H36 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of retinal disorders in diseases classified elsewhere. The code is not specific and is NOT valid for the year 2024 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

Specific Coding Applicable to Retinal disorders in diseases classified elsewhere

Non-specific codes like H36 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10-CM codes with a higher level of specificity when coding for retinal disorders in diseases classified elsewhere:

  • H36.8 for Other retinal disorders in diseases classified elsewhere - NON-BILLABLE CODE

  • H36.81 for Nonproliferative sickle-cell retinopathy - NON-BILLABLE CODE

  • H36.82 for Proliferative sickle-cell retinopathy - NON-BILLABLE CODE

  • Use H36.89 for Other retinal disorders in diseases classified elsewhere - BILLABLE CODE

Clinical Classification

New 2024 ICD-10-CM Code

H36 is new to ICD-10-CM code set for the FY 2024, effective October 1, 2023. The National Center for Health Statistics (NCHS) has published an update to the ICD-10-CM diagnosis codes which became effective October 1, 2023. This is a new and revised code for the FY 2024 (October 1, 2023 - September 30, 2024).

Convert H36 to ICD-9-CM

  • ICD-9-CM Code: 362.71 - Ret dystrph in lipidoses
    Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.
  • ICD-9-CM Code: 362.72 - Ret dystrph in syst dis
    Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.

Patient Education


Retinal Disorders

The retina is a layer of tissue in the back of your eye that senses light and sends images to your brain. In the center of this nerve tissue is the macula. It provides the sharp, central vision needed for reading, driving and seeing fine detail.

Retinal disorders affect this vital tissue. They can affect your vision, and some can be serious enough to cause blindness. Examples are:

  • Macular degeneration - a disease that destroys your sharp, central vision
  • Diabetic eye disease
  • Retinal detachment - a medical emergency, when the retina is pulled away from the back of the eye
  • Retinoblastoma - cancer of the retina. It is most common in young children.
  • Macular pucker - scar tissue on the macula
  • Macular hole - a small break in the macula that usually happens to people over 60
  • Floaters - cobwebs or specks in your field of vision

NIH: National Eye Institute


[Learn More in MedlinePlus]

Code History

  • FY 2024 - Code Added, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.

Footnotes

[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:

  • The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
  • The condition places limitations on self-care, independent living, and social interactions.