2024 ICD-10-CM Diagnosis Code H36.81

Nonproliferative sickle-cell retinopathy

ICD-10-CM Code:
H36.81
ICD-10 Code for:
Nonproliferative sickle-cell retinopathy
Is Billable?
Not Valid for Submission
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)

H36.81 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of nonproliferative sickle-cell retinopathy. 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 Nonproliferative sickle-cell retinopathy

Non-specific codes like H36.81 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 nonproliferative sickle-cell retinopathy:

  • Use H36.811 for Nonproliferative sickle-cell retinopathy, right eye - BILLABLE CODE

  • Use H36.812 for Nonproliferative sickle-cell retinopathy, left eye - BILLABLE CODE

  • Use H36.813 for Nonproliferative sickle-cell retinopathy, bilateral - BILLABLE CODE

  • Use H36.819 for Nonproliferative sickle-cell retinopathy, unspecified eye - BILLABLE CODE

New 2024 ICD-10-CM Code

H36.81 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).

Code History

  • FY 2024 - Code Added, effective from 10/1/2023 through 9/30/2024