H33.3

H33.3: Retinal breaks without detachment

Non-billable headerICD-10-CM

H33.3 is a non-billable header ICD-10-CM code for retinal breaks without detachment. 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.

chorioretinal scars after surgery for detachment (H59.81-)

Excludes2: not included here, but may coexist

The excluded condition is not part of this code, but a patient can have both. You may code both.

peripheral retinal degeneration without break (H35.4-)

Excludes1 inherited from the categories above H33.3

A category’s note binds every code beneath it.

Written on H33: Retinal detachments and breaks

detachment of retinal pigment epithelium (H35.72-, H35.73-)

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 H33.3

4 child codes. Green means billable.