H36.81

H36.81: Nonproliferative sickle-cell retinopathy

Non-billable headerICD-10-CM

H36.81 is a non-billable header ICD-10-CM code for nonproliferative sickle-cell retinopathy. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1 inherited from the categories above H36.81

A category’s note binds every code beneath it.

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

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

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead H36.81

4 child codes. Green means billable.

H36.811Nonproliferative sickle-cell retinopathy, right eye
H36.812Nonproliferative sickle-cell retinopathy, left eye
H36.813Nonproliferative sickle-cell retinopathy, bilateral
H36.819Nonproliferative sickle-cell retinopathy, unspecified eye

Other codes under H36.8

H36.82Proliferative sickle-cell retinopathy
H36.89Other retinal disorders in diseases classified elsewhere