H33.3 — Retinal breaks without detachment
Is H33.3 billable?
No — H33.3 is a non-billable header code. H33.3 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 16 billable codes beneath H33.3.
Billable codes under this header
- H33.301Unspecified retinal break, right eye
- H33.302Unspecified retinal break, left eye
- H33.303Unspecified retinal break, bilateral
- H33.309Unspecified retinal break, unspecified eye
- 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
- H33.321Round hole, right eye
- H33.322Round hole, left eye
- H33.323Round hole, bilateral
- H33.329Round hole, unspecified eye
- 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
H33.3 at a glance
| Code | H33.3 |
|---|---|
| Description | Retinal breaks without detachment |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Excludes1 — never code together
The conditions below can never be reported together with H33.3 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- chorioretinal scars after surgery for detachment (H59.81-)
Excludes2 — not included here
The conditions below are not part of H33.3, but a patient may have both at the same time. When documentation supports it, H33.3 and the excluded code may both be reported.
- peripheral retinal degeneration without break (H35.4-)
Excludes1 — never code together — inherited from H33
The conditions below can never be reported together with H33.3 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Excludes2 — not included here — inherited from Chapter 7
The conditions below are not part of H33.3, but a patient may have both at the same time. When documentation supports it, H33.3 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)
What codes fall under H33.3? (4)
How long has H33.3 existed?
H33.3 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.