H31.01
H31.01: Macula scars of posterior pole (postinflammatory) (post-traumatic)
Non-billable headerICD-10-CM
H31.01 is a non-billable header ICD-10-CM code for macula scars of posterior pole (postinflammatory) (post-traumatic). It cannot be billed on its own: choose one of the more specific child codes below.
Excludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- postprocedural choriorentinal scar (H59.81-)
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Code history
Unchanged in every release from FY2024 to FY2027.
Code to one of these instead H31.01
4 child codes. Green means billable.
- H31.011Macula scars of posterior pole (postinflammatory) (post-traumatic), right eye
- H31.012Macula scars of posterior pole (postinflammatory) (post-traumatic), left eye
- H31.013Macula scars of posterior pole (postinflammatory) (post-traumatic), bilateral
- H31.019Macula scars of posterior pole (postinflammatory) (post-traumatic), unspecified eye