H59.813 — Chorioretinal scars after surgery for detachment, bilateral
Is H59.813 billable?
Yes — H59.813 is billable for FY2027. H59.813 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. H59.813 may be submitted for encounters from October 1, 2026 through September 30, 2027.
H59.813 at a glance
| Code | H59.813 |
|---|---|
| Description | Chorioretinal scars after surgery for detachment, bilateral |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does H59.813 group to?
H59.813 sits in MDC 21 and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 919Complications of Treatment with MCCmedical
- 920Complications of Treatment with CCmedical
- 921Complications of Treatment without CC/MCCmedical
As a secondary diagnosis, H59.813 is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.
How is H59.813 listed in the Alphabetic Index?
The Alphabetic Index lists these routes under H59.81, the nearest indexed parent of H59.813. Use them to find the family, then select the specific code.
- Complication › postprocedural › chorioretinal scars following retinal surgery (s) (from) (of)
- Scar, scarring › chorioretinal › postsurgical
Excludes1 — never code together — inherited from H59
The conditions below can never be reported together with H59.813 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 H59.813, but a patient may have both at the same time. When documentation supports it, H59.813 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 H59.813 existed?
H59.813 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.