H33.011
H33.011 — Retinal detachment with single break, right eye
Billable / specific codeICD-10-CMright
H33.011 is a billable, specific ICD-10-CM code for retinal detachment with single break, right eye. It is valid for submission on a claim.
Risk adjustment
H33.011 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
H33.011 is named in 23 Medicare coverage policies — 23 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53008Billing and Coding: Intraocular Bevacizumab
- A53060Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
- A56453Billing and Coding: Cataract Extraction
- A56537Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
Related codes at this level
Codes that share H33.01. If H33.011 is not quite right, the correct code is usually one of these.
Questions about H33.011
- Is H33.011 a billable ICD-10-CM code?
- Yes. H33.011 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does H33.011 sit in the tabular list?
- Diseases of the eye and adnexa (H00-H59), in the block Disorders of choroid and retina (H30-H36).