H33.331

H33.331: Multiple defects of retina without detachment, right eye

Billable / specific codeICD-10-CMright

H33.331 is a billable, specific ICD-10-CM code for multiple defects of retina without detachment, right eye. It is valid for submission on a claim.

Check H33.331 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above H33.331

A category’s note binds every code beneath it.

Written on H33.3: Retinal breaks without detachment

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

Written on H33: Retinal detachments and breaks

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

Excludes2 inherited from the categories above H33.331

Not part of this code, but both may be coded when both are present.

Written on H33.3: Retinal breaks without detachment

peripheral retinal degeneration without break (H35.4-)

Risk adjustment

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

Medicare coverage

H33.331 is named in 20 Medicare coverage policies: 20 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
A56537Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
A56551Billing and Coding: Visual Fields Testing

Code history

Unchanged in every release from FY2024 to FY2027.