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H34.11

H34.11: Central retinal artery occlusion, right eye

Billable / specific codeICD-10-CMright

H34.11 is a billable, specific ICD-10-CM code for central retinal artery occlusion, right eye. It is valid for submission on a claim.

Check H34.11 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above H34.11

A category’s note binds every code beneath it.

Written on H34: Retinal vascular occlusions

Risk adjustment

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

Medicare coverage

H34.11 is named in 36 Medicare coverage policies: 36 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

  • A52992Billing and Coding: Non-Invasive Cerebrovascular Arterial Studies
  • A53060Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
  • A56505Billing and Coding: Transesophageal Echocardiography (TEE)
  • A56537Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under H34.1

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.