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H30.042 vs H30.049

H30.042 (Focal chorioretinal inflammation, macular or paramacular, left eye) compared with H30.049 (Focal chorioretinal inflammation, macular or paramacular, unspecified eye), from the official CMS tabular data. H30.042 and H30.049 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

H30.042
Left
Focal chorioretinal inflammation, macular or paramacular, left eye
H30.049
Unspecified
Focal chorioretinal inflammation, macular or paramacular, unspecified eye

Same condition; these differ only in which side is documented.

These codes share a category and title and differ only in the side affected. The documentation decides which applies, and a bilateral code is reported only where the code set provides one.

Source: ICD-10-CM tabular list (laterality variant derived from the code title)

Can these codes be reported together?

Same condition, opposite side. H30.042 and H30.049 name the same condition on opposite sides of the body.

Same category and title, differing only in which side is affected — the documentation decides which one applies, and a bilateral code is reported only where the code set provides one.

Side by side

H30.042Focal chorioretinal inflammation, macular or paramacular, left eyeH30.049Focal chorioretinal inflammation, macular or paramacular, unspecified eye
Billing statusBillableBillable
ClassificationH00-H59 — Diseases of the Eye and Adnexa (H00-H59)H00-H59 — Diseases of the Eye and Adnexa (H00-H59)
DefinitionFocal chorioretinal inflammation, macular or paramacular, left eye is a billable ICD-10-CM diagnosis code (H30.042).Focal chorioretinal inflammation, macular or paramacular, unspecified eye is a billable ICD-10-CM diagnosis code (H30.049).

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources