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H33.191 vs H33.199

H33.191 (Other retinoschisis and retinal cysts, right eye) compared with H33.199 (Other retinoschisis and retinal cysts, unspecified eye), from the official CMS tabular data. H33.191 and H33.199 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

H33.191
Right
Other retinoschisis and retinal cysts, right eye
H33.199
Unspecified
Other retinoschisis and retinal cysts, 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. H33.191 and H33.199 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

H33.191Other retinoschisis and retinal cysts, right eyeH33.199Other retinoschisis and retinal cysts, unspecified eye
Billing statusBillableBillable
ClassificationH00-H59 — Diseases of the Eye and Adnexa (H00-H59)H00-H59 — Diseases of the Eye and Adnexa (H00-H59)
DefinitionOther retinoschisis and retinal cysts, right eye is a billable ICD-10-CM diagnosis code (H33.191).Other retinoschisis and retinal cysts, unspecified eye is a billable ICD-10-CM diagnosis code (H33.199).

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