Is H36.8 a billable ICD-10-CM code?

No. H36.8 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does H36.8 sit in the tabular list?

Diseases of the eye and adnexa (H00-H59), in the block Disorders of choroid and retina (H30-H36).

What cannot be coded together with H36.8?

H36.8 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above H36.8 (H36) and apply to it just the same.

H36.8

H36.8 — Other retinal disorders in diseases classified elsewhere

Non-billable headerICD-10-CM

H36.8 is a non-billable header ICD-10-CM code for other retinal disorders in diseases classified elsewhere. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1 inherited from the categories above H36.8

These are not written on H36.8, but they bind it: a note on a category applies to every code beneath it. Billing H36.8 with anything listed here is a denial.

Written on H36 — Retinal disorders in diseases classified elsewhere

arteriosclerotic retinopathy (H35.0-)
diabetic retinopathy (E08.3-, E09.3-, E10.3-, E11.3-, E13.3-)

Risk adjustment

H36.8 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.

Code history

H36.8 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Code to one of these instead H36.8

3 child codes. Green means billable.

Questions about H36.8

Is H36.8 a billable ICD-10-CM code?: No. H36.8 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does H36.8 sit in the tabular list?: Diseases of the eye and adnexa (H00-H59), in the block Disorders of choroid and retina (H30-H36).
What cannot be coded together with H36.8?: H36.8 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above H36.8 (H36) and apply to it just the same.