2026 ICD-10-CM Diagnosis Code H31.019Macula scars of posterior pole (postinflammatory) (post-traumatic), unspecified eye

ICD-10-CM Codes›H00–H59›H30-H36›H31

ICD-10-CM H31.019
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

H31.019 is a billable ICD-10-CM diagnosis code for macula scars of posterior pole (postinflammatory) (post-traumatic), unspecified eye. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 124 through 125. Coders also document this condition as fibrovascular macular scar. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Retinal and vitreous conditions.

Code Identity

ICD-10-CM Code
H31.019
Billable Status
Yes — Valid for Submission
Code Describes
Macula scars of posterior pole (postinflammatory) (post-traumatic), unspecified eye
Short Description
Macula scars of posterior pole (post-traumatic), unsp eye
Parent Code
H31.01
Macula scars of posterior pole (postinflammatory) (post-traumatic)

Code Classification

ChapterH00–H59Diseases of the eye and adnexa
SectionH30-H36Disorders of choroid and retina
CategoryH31Other disorders of choroid
This CodeH31.019Macula scars of posterior pole (postinflammatory) (post-traumatic), unspecified eye

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Fibrovascular macular scar
  • Peripheral scar of posterior pole of retina of eye
  • Posttraumatic chorioretinal scar
  • Post-traumatic retinal scar
  • Scar of macula following trauma
  • Scarred macula

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR EYE005
Retinal and vitreous conditions
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

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.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert H31.019 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
363.32 Macular scars NEC
Approximate The match is approximate rather than exact.
ICD-9-CM
363.33 Posterior pole scar NEC
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About H31.019Overview

Is H31.019 a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report macula scars of posterior pole (postinflammatory) (post-traumatic), unspecified eye on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does H31.019 group to?

When macula scars of posterior pole (postinflammatory) (post-traumatic), unspecified eye is the principal diagnosis on an inpatient stay, it groups to MS-DRG 124, 125, with relative weights from 0.7678 to 1.3231 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of H31.019?

Under the General Equivalence Mappings, macula scars of posterior pole (postinflammatory) (post-traumatic), unspecified eye converts to ICD-9-CM 363.32 (macular scars NEC) and 363.33 (posterior pole scar NEC). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.