H31.01 — Macula scars of posterior pole (postinflammatory) (post-traumatic)
Is H31.01 billable?
No — H31.01 is a non-billable header code. H31.01 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 4 billable codes beneath H31.01.
Billable codes under this header
- H31.011Macula scars of posterior pole (postinflammatory) (post-traumatic), right eye
- H31.012Macula scars of posterior pole (postinflammatory) (post-traumatic), left eye
- H31.013Macula scars of posterior pole (postinflammatory) (post-traumatic), bilateral
- H31.019Macula scars of posterior pole (postinflammatory) (post-traumatic), unspecified eye
H31.01 at a glance
| Code | H31.01 |
|---|---|
| Description | Macula scars of posterior pole (postinflammatory) (post-traumatic) |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
How is H31.01 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to H31.01. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Scar, scarring › chorioretinal › posterior pole macula
Excludes1 — never code together
The conditions below can never be reported together with H31.01 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- postprocedural choriorentinal scar (H59.81-)
Excludes2 — not included here — inherited from Chapter 7
The conditions below are not part of H31.01, but a patient may have both at the same time. When documentation supports it, H31.01 and the excluded code may both be reported.
- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
- diabetes mellitus related eye conditions (E09.3-, E10.3-, E11.3-, E13.3-)
- endocrine, nutritional and metabolic diseases (E00-E88)
- injury (trauma) of eye and orbit (S05.-)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
- syphilis related eye disorders (A50.01, A50.3-, A51.43, A52.71)
Excludes2 — not included here — inherited from H31.0
The conditions below are not part of H31.01, but a patient may have both at the same time. When documentation supports it, H31.01 and the excluded code may both be reported.
- postsurgical chorioretinal scars (H59.81-)
What codes fall under H31.01? (4)
- H31.011Macula scars of posterior pole (postinflammatory) (post-traumatic), right eye
- H31.012Macula scars of posterior pole (postinflammatory) (post-traumatic), left eye
- H31.013Macula scars of posterior pole (postinflammatory) (post-traumatic), bilateral
- H31.019Macula scars of posterior pole (postinflammatory) (post-traumatic), unspecified eye
How long has H31.01 existed?
H31.01 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.