H31.099 — Other chorioretinal scars, unspecified eye
Is H31.099 billable?
Yes, but H31.099 is an unspecified code. H31.099 is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, H31.099 is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting H31.099 — the more specific alternatives are listed below.
H31.099 at a glance
| Code | H31.099 |
|---|---|
| Description | Other chorioretinal scars, unspecified eye |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does H31.099 group to?
H31.099 sits in MDC 02 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 124Other Disorders of the Eye with MCC or Thrombolytic Agentmedical
- 125Other Disorders of the Eye without MCCmedical
How is H31.099 listed in the Alphabetic Index?
The Alphabetic Index lists these routes under H31.09, the nearest indexed parent of H31.099. Use them to find the family, then select the specific code.
- Scar, scarring › chorioretinal › specified type NEC
Excludes2 — not included here — inherited from Chapter 7
The conditions below are not part of H31.099, but a patient may have both at the same time. When documentation supports it, H31.099 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 H31.099, but a patient may have both at the same time. When documentation supports it, H31.099 and the excluded code may both be reported.
- postsurgical chorioretinal scars (H59.81-)
How long has H31.099 existed?
H31.099 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.