H34.213 — Partial retinal artery occlusion, bilateral
Is H34.213 billable?
Yes — H34.213 is billable for FY2027. H34.213 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. H34.213 may be submitted for encounters from October 1, 2026 through September 30, 2027.
H34.213 at a glance
| Code | H34.213 |
|---|---|
| Description | Partial retinal artery occlusion, bilateral |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does H34.213 group to?
H34.213 sits in MDC 02 and helps define the logic of 1 MS-DRG (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 123Neurological Eye Disordersmedical
As a secondary diagnosis, H34.213 is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.
How is H34.213 listed in the Alphabetic Index?
The Alphabetic Index lists these routes under H34.21, the nearest indexed parent of H34.213. Use them to find the family, then select the specific code.
- Occlusion, occluded › artery › retinal › partial
Excludes1 — never code together — inherited from H34
The conditions below can never be reported together with H34.213 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- amaurosis fugax (G45.3)
Excludes2 — not included here — inherited from Chapter 7
The conditions below are not part of H34.213, but a patient may have both at the same time. When documentation supports it, H34.213 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)
How long has H34.213 existed?
H34.213 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.