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H31.091 vs H31.092

H31.091 (Other chorioretinal scars, right eye) compared with H31.092 (Other chorioretinal scars, left eye), from the official CMS tabular data. H31.091 and H31.092 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

H31.091
Right
Other chorioretinal scars, right eye
H31.092
Left
Other chorioretinal scars, left 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. H31.091 and H31.092 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

H31.091Other chorioretinal scars, right eyeH31.092Other chorioretinal scars, left eye
Billing statusBillableBillable
ClassificationH00-H59 — Diseases of the Eye and Adnexa (H00-H59)H00-H59 — Diseases of the Eye and Adnexa (H00-H59)
DefinitionOther chorioretinal scars, right eye is a billable ICD-10-CM diagnosis code (H31.091).Other chorioretinal scars, left eye is a billable ICD-10-CM diagnosis code (H31.092).

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