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H34.9

H34.9: Unspecified retinal vascular occlusion

Billable / specific codeICD-10-CM

H34.9 is a billable, specific ICD-10-CM code for unspecified retinal vascular occlusion. It is valid for submission on a claim.

Check H34.9 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above H34.9

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

H34.9 is named in 27 Medicare coverage policies: 27 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
  • A56550Billing and Coding: Panretinal (Scatter) Laser Photocoagulation
  • A56551Billing and Coding: Visual Fields Testing

Alphabetic index entries that lead here

  • Embolism›eye
  • Obstruction, obstructed, obstructive›retinal(vessels)
  • Occlusion, occluded›retina, retinal›vessels

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under H34

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.