ICD-10-CM Code H36

Retinal disorders in diseases classified elsewhere

Version 2021 Billable Code Manifestation Diagnoses

Valid for Submission

H36 is a billable code used to specify a medical diagnosis of retinal disorders in diseases classified elsewhere. The code is valid for the fiscal year 2021 for the submission of HIPAA-covered transactions. The ICD-10-CM code H36 might also be used to specify conditions or terms like carcinoma-associated retinopathy, deaf mutism, deafmutism-retinal degeneration syndrome, epstein-barr virus infection of the retina, paraneoplastic retinopathy, retinal dystrophy due to systemic disorder, etc

ICD-10:H36
Short Description:Retinal disorders in diseases classified elsewhere
Long Description:Retinal disorders in diseases classified elsewhere

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code H36:

Code First

Code First
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists, there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation.
  • underlying disease, such as:
  • lipid storage disorders E75
  • sickle-cell disorders D57

Type 1 Excludes

Type 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.

Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:

  • Manifestation diagnoses - Manifestation codes describe the manifestation of an underlying disease, not the disease itself, and therefore should not be used as a principal diagnosis.

Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Carcinoma-associated retinopathy
  • Deaf mutism
  • Deafmutism-retinal degeneration syndrome
  • Epstein-Barr virus infection of the retina
  • Paraneoplastic retinopathy
  • Retinal dystrophy due to systemic disorder
  • Retinal dystrophy in systemic lipidosis
  • Retinopathy associated with AIDS
  • Sickle cell retinopathy
  • Sickle cell-hemoglobin C retinopathy

Diagnostic Related Groups

The ICD-10 code H36 is grouped in the following groups for version MS-DRG V38.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC).
applicable from 10/01/2020 through 09/30/2021.

  • 124 - OTHER DISORDERS OF THE EYE WITH MCC
  • 125 - OTHER DISORDERS OF THE EYE WITHOUT MCC

Convert H36 to ICD-9

  • 362.71 - Ret dystrph in lipidoses (Approximate Flag)
  • 362.72 - Ret dystrph in syst dis (Approximate Flag)

Code Classification

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

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021

Information for Patients


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

  • Amaurosis fugax (Medical Encyclopedia)
  • Central serous choroidopathy (Medical Encyclopedia)
  • Electroretinography (Medical Encyclopedia)
  • Fluorescein angiography (Medical Encyclopedia)
  • High blood pressure and eye disease (Medical Encyclopedia)
  • Home vision tests (Medical Encyclopedia)
  • Intravitreal injection (Medical Encyclopedia)
  • Retinal artery occlusion (Medical Encyclopedia)
  • Retinal vein occlusion (Medical Encyclopedia)

[Learn More]