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.
Risk adjustment
H34.11 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
H34.11 is named in 36 Medicare coverage policies — 36 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- 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)
Related codes at this level
Codes that share H34.1. If H34.11 is not quite right, the correct code is usually one of these.
Questions about H34.11
- Is H34.11 a billable ICD-10-CM code?
- Yes. H34.11 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does H34.11 sit in the tabular list?
- Diseases of the eye and adnexa (H00-H59), in the block Disorders of choroid and retina (H30-H36).