Retinal detachments and breaks
In Disorders of choroid and retina (H30-H36), chapter 7: Diseases of the Eye and Adnexa
65 billable codes under H33: 13 are a CC; none map to an HCC.A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment.
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Instructional notes
Official coding guidelines
From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.
Covers coding glaucoma by type, eye, and stage, including bilateral cases and stage changes, and coding blindness or low vision when the impairment category is undocumented.
All codes under H33
H33 can't be used on a claim. Pick a billable code below; grey headings group them.
- H33.0Retinal detachment with retinal break
- H33.00Unspecified retinal detachment with retinal break
- H33.001Unspecified retinal detachment with retinal break, right eye
- H33.002Unspecified retinal detachment with retinal break, left eye
- H33.003Unspecified retinal detachment with retinal break, bilateral
- H33.009Unspecified retinal detachment with retinal break, unspecified eye
- H33.01Retinal detachment with single break
- H33.011Retinal detachment with single break, right eye
- H33.012Retinal detachment with single break, left eye
- H33.013Retinal detachment with single break, bilateral
- H33.019Retinal detachment with single break, unspecified eye
- H33.02Retinal detachment with multiple breaks
- H33.021Retinal detachment with multiple breaks, right eye
- H33.022Retinal detachment with multiple breaks, left eye
- H33.023Retinal detachment with multiple breaks, bilateral
- H33.029Retinal detachment with multiple breaks, unspecified eye
- H33.03Retinal detachment with giant retinal tear
- H33.031Retinal detachment with giant retinal tear, right eye
- H33.032Retinal detachment with giant retinal tear, left eye
- H33.033Retinal detachment with giant retinal tear, bilateral
- H33.039Retinal detachment with giant retinal tear, unspecified eye
- H33.04Retinal detachment with retinal dialysis
- H33.041Retinal detachment with retinal dialysis, right eye
- H33.042Retinal detachment with retinal dialysis, left eye
- H33.043Retinal detachment with retinal dialysis, bilateral
- H33.049Retinal detachment with retinal dialysis, unspecified eye
- H33.05Total retinal detachment
- H33.051Total retinal detachment, right eye
- H33.052Total retinal detachment, left eye
- H33.053Total retinal detachment, bilateral
- H33.059Total retinal detachment, unspecified eye
- H33.1Retinoschisis and retinal cysts
- H33.10Unspecified retinoschisis
- H33.101Unspecified retinoschisis, right eye
- H33.102Unspecified retinoschisis, left eye
- H33.103Unspecified retinoschisis, bilateral
- H33.109Unspecified retinoschisis, unspecified eye
- H33.11Cyst of ora serrata
- H33.111Cyst of ora serrata, right eye
- H33.112Cyst of ora serrata, left eye
- H33.113Cyst of ora serrata, bilateral
- H33.119Cyst of ora serrata, unspecified eye
- H33.12Parasitic cyst of retina
- H33.121Parasitic cyst of retina, right eye
- H33.122Parasitic cyst of retina, left eye
- H33.123Parasitic cyst of retina, bilateral
- H33.129Parasitic cyst of retina, unspecified eye
- H33.19Other retinoschisis and retinal cysts
- H33.191Other retinoschisis and retinal cysts, right eye
- H33.192Other retinoschisis and retinal cysts, left eye
- H33.193Other retinoschisis and retinal cysts, bilateral
- H33.199Other retinoschisis and retinal cysts, unspecified eye
- H33.2Serous retinal detachment
- H33.20Serous retinal detachment, unspecified eye
- H33.21Serous retinal detachment, right eye
- H33.22Serous retinal detachment, left eye
- H33.23Serous retinal detachment, bilateral
- H33.3Retinal breaks without detachment
- H33.30Unspecified retinal break
- H33.301Unspecified retinal break, right eye
- H33.302Unspecified retinal break, left eye
- H33.303Unspecified retinal break, bilateral
- H33.309Unspecified retinal break, unspecified eye
- H33.31Horseshoe tear of retina without detachment
- H33.311Horseshoe tear of retina without detachment, right eye
- H33.312Horseshoe tear of retina without detachment, left eye
- H33.313Horseshoe tear of retina without detachment, bilateral
- H33.319Horseshoe tear of retina without detachment, unspecified eye
- H33.32Round hole of retina without detachment
- H33.321Round hole, right eye
- H33.322Round hole, left eye
- H33.323Round hole, bilateral
- H33.329Round hole, unspecified eye
- H33.33Multiple defects of retina without detachment
- H33.331Multiple defects of retina without detachment, right eye
- H33.332Multiple defects of retina without detachment, left eye
- H33.333Multiple defects of retina without detachment, bilateral
- H33.339Multiple defects of retina without detachment, unspecified eye
- H33.4Traction detachment of retina
- H33.40Traction detachment of retina, unspecified eye
- H33.41Traction detachment of retina, right eye
- H33.42Traction detachment of retina, left eye
- H33.43Traction detachment of retina, bilateral
- H33.8Other retinal detachments
H33 MS-DRGs
As the principal diagnosis, the billable codes under H33 group to MS-DRG 124, 125, 121, or 122 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
- DRG 124 Other Disorders of the Eye with MCC or Thrombolytic Agent (61 of 65 codes)
- DRG 125 Other Disorders of the Eye without MCC (61 of 65 codes)
- DRG 121 Acute Major Eye Infections with CC/MCC (4 of 65 codes)
- DRG 122 Acute Major Eye Infections without CC/MCC (4 of 65 codes)
Other codes that refer to H33
Notes on these codes point to H33.
- H44.2C Use Additional Code: code to identify the retinal detachment (H33.-)
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Retinal Detachment
The retina is a layer of tissue in the back of your eye that senses light and sends images to your brain. It provides the sharp, central vision needed for reading, driving, and seeing fine detail. A retinal detachment lifts or pulls the retina from its normal position. It can occur at any age, but it is more common in people over age 40. It affects men more than women and whites more than African Americans. A retinal detachment is also more likely to occur in people who:
Read more about retinal detachment on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.
