{"code":"H36","type":"category","title":"Retinal disorders in diseases classified elsewhere","codeAlso":[],"includes":[],"modern_v":"official26","codeFirst":["underlying disease, such as:","lipid storage disorders (E75.-)","sickle-cell disorders (D57.-)"],"excludes1":["arteriosclerotic retinopathy (H35.0-)","diabetic retinopathy (E08.3-, E09.3-, E10.3-, E11.3-, E13.3-)"],"excludes2":[],"isBillable":false,"fyEffectivity":{"fy2026":true,"fy2027":true,"billableFy2026":false,"billableFy2027":false},"sibling_codes":["H36.8","H36.81","H36.811","H36.812","H36.813","H36.819","H36.82","H36.821","H36.822","H36.823","H36.829","H36.89"],"inclusionTerms":[],"sibling_titles":{"code":"H36.89","title":"Other retinal disorders in diseases classified elsewhere","isBillable":true},"useAdditionalCode":[],"clinicalDefinition":"Retinal disorders in diseases classified elsewhere is a non-billable ICD-10-CM category code (H36). A more specific billable subcode must be selected for claims submission. Excludes1 (not coded here): arteriosclerotic retinopathy (H35.0-); diabetic retinopathy (E08.3-, E09.3-, E10.3-, E11.3-, E13.3-). Code first: underlying disease, such as:; lipid storage disorders (E75.-); sickle-cell disorders (D57.-).","officialDefinition":"Retinal disorders in diseases classified elsewhere is a non-billable ICD-10-CM category code (H36). A more specific billable subcode must be selected for claims submission. Excludes1 (not coded here): arteriosclerotic retinopathy (H35.0-); diabetic retinopathy (E08.3-, E09.3-, E10.3-, E11.3-, E13.3-). Code first: underlying disease, such as:; lipid storage disorders (E75.-); sickle-cell disorders (D57.-).","seventhCharacterInstructions":[],"workflowProtocols":[],"guidelines":{"whenToUse":[],"whenNotToUse":[],"commonBillingMistakes":[],"codeComparisons":[],"documentationChecklist":[]},"domainLandscape":{"summary":"Primary diagnostic domain and clinical landscape evaluation.","keyCategories":[],"diagnosticContinuum":"Progression continuum from acute presentation to resolution."},"children":[{"code":"H36.8","title":"Other retinal disorders in diseases classified elsewhere","description":"Other retinal disorders in diseases classified elsewhere is a non-billable ICD-10-CM category code (H36.8). A more specific billable subcode must be selected for claims submission. Excludes1 (not coded here): arteriosclerotic retinopathy (H35.0-); diabetic retinopathy (E08.3-, E09.3-, E10.3-, E11.3-, E13.3-). Code first: underlying disease, such as:; lipid storage disorders (E75.-); sickle-cell disorders (D57.-).","isBillable":false,"slug":"h36.8-other-retinal-disorders-in-diseases-classified-elsewhere"},{"code":"H36.81","title":"Nonproliferative sickle-cell retinopathy","description":"Nonproliferative sickle-cell retinopathy is a non-billable ICD-10-CM category code (H36.81). A more specific billable subcode must be selected for claims submission. Excludes1 (not coded here): arteriosclerotic retinopathy (H35.0-); diabetic retinopathy (E08.3-, E09.3-, E10.3-, E11.3-, E13.3-). Code first: underlying disease, such as:; lipid storage disorders (E75.-); sickle-cell disorders (D57.-).","isBillable":false,"slug":"h36.81-nonproliferative-sickle-cell-retinopathy"},{"code":"H36.811","title":"Nonproliferative sickle-cell retinopathy, right eye","description":"Nonproliferative sickle-cell retinopathy, right eye is a billable ICD-10-CM diagnosis code (H36.811). Excludes1 (not coded here): arteriosclerotic retinopathy (H35.0-); diabetic retinopathy (E08.3-, E09.3-, E10.3-, E11.3-, E13.3-). Code first: underlying disease, such as:; lipid storage disorders (E75.-); sickle-cell disorders (D57.-).","isBillable":true,"slug":"h36.811-nonproliferative-sickle-cell-retinopathy-right-eye"},{"code":"H36.812","title":"Nonproliferative sickle-cell retinopathy, left eye","description":"Nonproliferative sickle-cell retinopathy, left eye is a billable ICD-10-CM diagnosis code (H36.812). Excludes1 (not coded here): arteriosclerotic retinopathy (H35.0-); diabetic retinopathy (E08.3-, E09.3-, E10.3-, E11.3-, E13.3-). Code first: underlying disease, such as:; lipid storage disorders (E75.-); sickle-cell disorders (D57.-).","isBillable":true,"slug":"h36.812-nonproliferative-sickle-cell-retinopathy-left-eye"},{"code":"H36.813","title":"Nonproliferative sickle-cell retinopathy, bilateral","description":"Nonproliferative sickle-cell retinopathy, bilateral is a billable ICD-10-CM diagnosis code (H36.813). Excludes1 (not coded here): arteriosclerotic retinopathy (H35.0-); diabetic retinopathy (E08.3-, E09.3-, E10.3-, E11.3-, E13.3-). Code first: underlying disease, such as:; lipid storage disorders (E75.-); sickle-cell disorders (D57.-).","isBillable":true,"slug":"h36.813-nonproliferative-sickle-cell-retinopathy-bilateral"},{"code":"H36.819","title":"Nonproliferative sickle-cell retinopathy, unspecified eye","description":"Nonproliferative sickle-cell retinopathy, unspecified eye is a billable ICD-10-CM diagnosis code (H36.819). Excludes1 (not coded here): arteriosclerotic retinopathy (H35.0-); diabetic retinopathy (E08.3-, E09.3-, E10.3-, E11.3-, E13.3-). Code first: underlying disease, such as:; lipid storage disorders (E75.-); sickle-cell disorders (D57.-).","isBillable":true,"slug":"h36.819-nonproliferative-sickle-cell-retinopathy-unspecified-eye"},{"code":"H36.82","title":"Proliferative sickle-cell retinopathy","description":"Proliferative sickle-cell retinopathy is a non-billable ICD-10-CM category code (H36.82). A more specific billable subcode must be selected for claims submission. Excludes1 (not coded here): arteriosclerotic retinopathy (H35.0-); diabetic retinopathy (E08.3-, E09.3-, E10.3-, E11.3-, E13.3-). Code first: underlying disease, such as:; lipid storage disorders (E75.-); sickle-cell disorders (D57.-).","isBillable":false,"slug":"h36.82-proliferative-sickle-cell-retinopathy"},{"code":"H36.821","title":"Proliferative sickle-cell retinopathy, right eye","description":"Proliferative sickle-cell retinopathy, right eye is a billable ICD-10-CM diagnosis code (H36.821). Excludes1 (not coded here): arteriosclerotic retinopathy (H35.0-); diabetic retinopathy (E08.3-, E09.3-, E10.3-, E11.3-, E13.3-). Code first: underlying disease, such as:; lipid storage disorders (E75.-); sickle-cell disorders (D57.-).","isBillable":true,"slug":"h36.821-proliferative-sickle-cell-retinopathy-right-eye"},{"code":"H36.822","title":"Proliferative sickle-cell retinopathy, left eye","description":"Proliferative sickle-cell retinopathy, left eye is a billable ICD-10-CM diagnosis code (H36.822). Excludes1 (not coded here): arteriosclerotic retinopathy (H35.0-); diabetic retinopathy (E08.3-, E09.3-, E10.3-, E11.3-, E13.3-). Code first: underlying disease, such as:; lipid storage disorders (E75.-); sickle-cell disorders (D57.-).","isBillable":true,"slug":"h36.822-proliferative-sickle-cell-retinopathy-left-eye"},{"code":"H36.823","title":"Proliferative sickle-cell retinopathy, bilateral","description":"Proliferative sickle-cell retinopathy, bilateral is a billable ICD-10-CM diagnosis code (H36.823). Excludes1 (not coded here): arteriosclerotic retinopathy (H35.0-); diabetic retinopathy (E08.3-, E09.3-, E10.3-, E11.3-, E13.3-). Code first: underlying disease, such as:; lipid storage disorders (E75.-); sickle-cell disorders (D57.-).","isBillable":true,"slug":"h36.823-proliferative-sickle-cell-retinopathy-bilateral"},{"code":"H36.829","title":"Proliferative sickle-cell retinopathy, unspecified eye","description":"Proliferative sickle-cell retinopathy, unspecified eye is a billable ICD-10-CM diagnosis code (H36.829). Excludes1 (not coded here): arteriosclerotic retinopathy (H35.0-); diabetic retinopathy (E08.3-, E09.3-, E10.3-, E11.3-, E13.3-). Code first: underlying disease, such as:; lipid storage disorders (E75.-); sickle-cell disorders (D57.-).","isBillable":true,"slug":"h36.829-proliferative-sickle-cell-retinopathy-unspecified-eye"},{"code":"H36.89","title":"Other retinal disorders in diseases classified elsewhere","description":"Other retinal disorders in diseases classified elsewhere is a billable ICD-10-CM diagnosis code (H36.89). Inclusion terms: Retinal dystrophy in lipid storage disorders. Excludes1 (not coded here): arteriosclerotic retinopathy (H35.0-); diabetic retinopathy (E08.3-, E09.3-, E10.3-, E11.3-, E13.3-). Code first: underlying disease, such as:; lipid storage disorders (E75.-); sickle-cell disorders (D57.-).","isBillable":true,"slug":"h36.89-other-retinal-disorders-in-diseases-classified-elsewhere"}],"hierarchy":[],"relatedCodes":[],"relevantCPTCodes":[],"documentationTips":[],"caseStudies":[],"description":"","overview":""}