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H33.031

H33.031: Retinal detachment with giant retinal tear, right eye

Billable / specific codeICD-10-CMright

H33.031 is a billable, specific ICD-10-CM code for retinal detachment with giant retinal tear, right eye. It is valid for submission on a claim.

Check H33.031 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above H33.031

A category’s note binds every code beneath it.

Written on H33.0: Retinal detachment with retinal break

  • serous retinal detachment (without retinal break) (H33.2-)

Written on H33: Retinal detachments and breaks

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

H33.031 is named in 23 Medicare coverage policies: 23 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

  • 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)

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under H33.03

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.