H36 — Retinal disorders in diseases classified elsewhere
Is H36 billable?
No — H36 is a non-billable header code. H36 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 9 billable codes beneath H36.
Billable codes under this header
- H36.89Other retinal disorders in diseases classified elsewhere
- H36.811Nonproliferative sickle-cell retinopathy, right eye
- H36.812Nonproliferative sickle-cell retinopathy, left eye
- H36.813Nonproliferative sickle-cell retinopathy, bilateral
- H36.819Nonproliferative sickle-cell retinopathy, unspecified eye
- H36.821Proliferative sickle-cell retinopathy, right eye
- H36.822Proliferative sickle-cell retinopathy, left eye
- H36.823Proliferative sickle-cell retinopathy, bilateral
- H36.829Proliferative sickle-cell retinopathy, unspecified eye
H36 at a glance
| Code | H36 |
|---|---|
| Description | Retinal disorders in diseases classified elsewhere |
| 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 H36 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Code first
The underlying condition below must be sequenced before H36. H36 describes a manifestation and cannot be the principal or first-listed diagnosis.
Excludes2 — not included here — inherited from Chapter 7
The conditions below are not part of H36, but a patient may have both at the same time. When documentation supports it, H36 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 H36? (1)
How long has H36 existed?
H36 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
- FY2024: H36 stopped being billable
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.