Retinal vascular occlusions
In Disorders of choroid and retina (H30-H36), chapter 7: Diseases of the Eye and Adnexa
45 billable codes under H34: 29 are a CC; 24 map to HCC 298 (Severe Diabetic Eye Disease, Retinal Vein Occlusion, and Vitreous Hemorrhage).A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment. An HCC counts toward a Medicare Advantage patient's risk score.
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Instructional notes
Excludes1: not coded here, use a different code
- amaurosis fugax (G45.3)
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 H34
H34 can't be used on a claim. Pick a billable code below; grey headings group them.
- H34.0Transient retinal artery occlusion
- H34.00Transient retinal artery occlusion, unspecified eye
- H34.01Transient retinal artery occlusion, right eye
- H34.02Transient retinal artery occlusion, left eye
- H34.03Transient retinal artery occlusion, bilateral
- H34.1Central retinal artery occlusion
- H34.10Central retinal artery occlusion, unspecified eye
- H34.11Central retinal artery occlusion, right eye
- H34.12Central retinal artery occlusion, left eye
- H34.13Central retinal artery occlusion, bilateral
- H34.2Other retinal artery occlusions
- H34.21Partial retinal artery occlusion
- H34.211Partial retinal artery occlusion, right eye
- H34.212Partial retinal artery occlusion, left eye
- H34.213Partial retinal artery occlusion, bilateral
- H34.219Partial retinal artery occlusion, unspecified eye
- H34.23Retinal artery branch occlusion
- H34.231Retinal artery branch occlusion, right eye
- H34.232Retinal artery branch occlusion, left eye
- H34.233Retinal artery branch occlusion, bilateral
- H34.239Retinal artery branch occlusion, unspecified eye
- H34.8Other retinal vascular occlusions
- H34.81Central retinal vein occlusion
- H34.811Central retinal vein occlusion, right eye
- H34.8110Central retinal vein occlusion, right eye, with macular edema
- H34.8111Central retinal vein occlusion, right eye, with retinal neovascularization
- H34.8112Central retinal vein occlusion, right eye, stable
- H34.812Central retinal vein occlusion, left eye
- H34.8120Central retinal vein occlusion, left eye, with macular edema
- H34.8121Central retinal vein occlusion, left eye, with retinal neovascularization
- H34.8122Central retinal vein occlusion, left eye, stable
- H34.813Central retinal vein occlusion, bilateral
- H34.8130Central retinal vein occlusion, bilateral, with macular edema
- H34.8131Central retinal vein occlusion, bilateral, with retinal neovascularization
- H34.8132Central retinal vein occlusion, bilateral, stable
- H34.819Central retinal vein occlusion, unspecified eye
- H34.8190Central retinal vein occlusion, unspecified eye, with macular edema
- H34.8191Central retinal vein occlusion, unspecified eye, with retinal neovascularization
- H34.8192Central retinal vein occlusion, unspecified eye, stable
- H34.82Venous engorgement
- H34.821Venous engorgement, right eye
- H34.822Venous engorgement, left eye
- H34.823Venous engorgement, bilateral
- H34.829Venous engorgement, unspecified eye
- H34.83Tributary (branch) retinal vein occlusion
- H34.831Tributary (branch) retinal vein occlusion, right eye
- H34.8310Tributary (branch) retinal vein occlusion, right eye, with macular edema
- H34.8311Tributary (branch) retinal vein occlusion, right eye, with retinal neovascularization
- H34.8312Tributary (branch) retinal vein occlusion, right eye, stable
- H34.832Tributary (branch) retinal vein occlusion, left eye
- H34.8320Tributary (branch) retinal vein occlusion, left eye, with macular edema
- H34.8321Tributary (branch) retinal vein occlusion, left eye, with retinal neovascularization
- H34.8322Tributary (branch) retinal vein occlusion, left eye, stable
- H34.833Tributary (branch) retinal vein occlusion, bilateral
- H34.8330Tributary (branch) retinal vein occlusion, bilateral, with macular edema
- H34.8331Tributary (branch) retinal vein occlusion, bilateral, with retinal neovascularization
- H34.8332Tributary (branch) retinal vein occlusion, bilateral, stable
- H34.839Tributary (branch) retinal vein occlusion, unspecified eye
- H34.8390Tributary (branch) retinal vein occlusion, unspecified eye, with macular edema
- H34.8391Tributary (branch) retinal vein occlusion, unspecified eye, with retinal neovascularization
- H34.8392Tributary (branch) retinal vein occlusion, unspecified eye, stable
- H34.9Unspecified retinal vascular occlusion
H34 MS-DRGs
As the principal diagnosis, the billable codes under H34 group to MS-DRG 123, 124, or 125 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
- DRG 123 Neurological Eye Disorders (37 of 45 codes)
- DRG 124 Other Disorders of the Eye with MCC or Thrombolytic Agent (8 of 45 codes)
- DRG 125 Other Disorders of the Eye without MCC (8 of 45 codes)
Other codes that refer to H34
Notes on these codes point to H34.
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Retinal Disorders
Retinal disorders are conditions that affect the retina, the thin light-sensitive tissue at the back of your eye. The retina senses light and sends signals to your brain so you can see.
Read more about retinal disorders on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.
