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Compare/H31.0 vs H59.81

H31.0 vs H59.81

H31.0 (Chorioretinal scars) compared with H59.81 (Chorioretinal scars after surgery for detachment), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).

Can these codes be reported together?

Yes, when both are documented. H31.0 carries an Excludes2 note covering H59.81: “postsurgical chorioretinal scars (H59.81-)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Side by side

H31.0Chorioretinal scarsH59.81Chorioretinal scars after surgery for detachment
Billing statusNon-billable header

Report instead: H31.001, H31.002, H31.003, H31.009, H31.011

Non-billable header

Report instead: H59.811, H59.812, H59.813, H59.819

ClassificationH00-H59 — Diseases of the Eye and Adnexa (H00-H59)H00-H59 — Diseases of the Eye and Adnexa (H00-H59)
DefinitionChorioretinal scars is a non-billable ICD-10-CM category code (H31.0).Chorioretinal scars after surgery for detachment is a non-billable ICD-10-CM category code (H59.81).
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Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources