H36.89

H36.89: Other retinal disorders in diseases classified elsewhere

Billable / specific codeICD-10-CM

H36.89 is a billable, specific ICD-10-CM code for other retinal disorders in diseases classified elsewhere. It is valid for submission on a claim.

Check H36.89 with the rest of the claim: free scrubber

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Retinal dystrophy in lipid storage disorders

Excludes1 inherited from the categories above H36.89

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.

Medicare coverage

H36.89 is named in 15 Medicare coverage policies: 15 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A53008Billing and Coding: Intraocular Bevacizumab
A56537Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
A56551Billing and Coding: Visual Fields Testing
A56672Billing and Coding: Electroretinography (ERG)

Code history

Unchanged in every release from FY2024 to FY2027.