2027 ICD-10-CM Diagnosis Code H33.301Unspecified retinal break, right eye

ICD-10-CM Codes›H00–H59›H30-H36›H33

ICD-10-CM H33.301
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

H33.301 is a billable ICD-10-CM diagnosis code for unspecified retinal break, right eye. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 124 through 125. Coders also document this condition as break of retina of right eye. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Retinal and vitreous conditions.

Code Identity

ICD-10-CM Code
H33.301
Billable Status
Yes — Valid for Submission
Code Describes
Unspecified retinal break, right eye
Short Description
Unspecified retinal break, right eye
Same as the full description in the CMS dataset.
Parent Code
H33.30
Unspecified retinal break

Code Classification

ChapterH00–H59Diseases of the eye and adnexa
SectionH30-H36Disorders of choroid and retina
CategoryH33Retinal detachments and breaks
This CodeH33.301Unspecified retinal break, right eye

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Break of retina of right eye
  • Retinal tear of right eye
  • Retinal tear of right eye without detachment
  • Retinal tear without detachment

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to H33.301: its own notes plus those printed at H33.3, H33, and Chapter 7. A note printed at a category, block or chapter applies to every code under it.

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

From H33.3 Retinal breaks without detachment applies to 16 codes
  • chorioretinal scars after surgery for detachment (H59.81-)
From H33 Retinal detachments and breaks applies to 65 codes

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From H33.3 Retinal breaks without detachment applies to 16 codes
  • peripheral retinal degeneration without break (H35.4-)
From Chapter 7 (H00-H59) Diseases of the eye and adnexa applies to 2,677 codes
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
  • diabetes mellitus related eye conditions (E09.3-, E10.3-, E11.3-, E13.3-)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury (trauma) of eye and orbit (S05.-)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
  • syphilis related eye disorders (A50.01, A50.3-, A51.43, A52.71)

Notes

General instructions on how these codes are used.

From Chapter 7 (H00-H59) Diseases of the eye and adnexa applies to 2,677 codes
  • Use an external cause code following the code for the eye condition, if applicable, to identify the cause of the eye condition

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name H33.301, its category, or a range that includes it.

Excludes2 1

These codes carry an Excludes2 note naming H33.301: its condition is not part of those codes, and both may be reported when the patient has both.

  • H35.4 Peripheral retinal degeneration
    peripheral retinal degeneration with retinal break (H33.3-) names H33.3-, which includes this code

Use Additional Code 1

These codes say to use an additional code from the note, and H33.301 is one of the codes named.

  • H44.2C Degenerative myopia with retinal detachment
    code to identify the retinal detachment (H33.-) names H33.-, which includes this code

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

Retinal disorders are conditions that affect the retina, the thin light-sensitive tissue at the back of your eye. The retina senses light and sends signals to your brain so you can see.

The full article covers:

  • What are retinal disorders?
  • What causes retinal disorders?
  • What are common retinal disorders?
  • What are the symptoms of retinal disorders?
  • How are retinal disorders diagnosed?
  • How are retinal disorders treated?
  • Can retinal disorders be prevented?

Read the full article at MedlinePlus

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

Convert H33.301 to ICD-9-CMHistory

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

ICD-9-CM
361.30 Retinal defect NOS
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 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About H33.301Overview

What is the ICD-10 code for unspecified retinal break, right eye?

The ICD-10-CM code for unspecified retinal break, right eye is H33.301 (sometimes written as H33301). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is H33.301 (Unspecified retinal break) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report unspecified retinal break, right eye on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does H33.301 group to?

When unspecified retinal break, right eye is the principal diagnosis on an inpatient stay, it groups to MS-DRG 125, 124, with relative weights from 0.7699 to 1.2470 depending on complications. Higher weights mean higher Medicare reimbursement.

Can H33.301 be reported with a code from H59.81?

Not as a rule. The Excludes1 note at H33.3, which applies to H33.301, lists "chorioretinal scars after surgery for detachment (H59.81-)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).

What is the ICD-9 equivalent of H33.301?

Under the General Equivalence Mappings, unspecified retinal break, right eye converts to ICD-9-CM 361.30 (retinal defect NOS). The mapping is approximate, so confirm the match fits the documentation.