H33.3 vs H35.4
H33.3 (Retinal breaks without detachment) compared with H35.4 (Peripheral retinal degeneration), 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. H33.3 carries an Excludes2 note covering H35.4: “peripheral retinal degeneration without break (H35.4-)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Yes, when both are documented. H35.4 carries an Excludes2 note covering H33.3: “peripheral retinal degeneration with retinal break (H33.3-)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| H33.3Retinal breaks without detachment | H35.4Peripheral retinal degeneration | |
|---|---|---|
| Billing status | Non-billable header | Non-billable header |
| Classification | H00-H59 — Diseases of the Eye and Adnexa (H00-H59) | H00-H59 — Diseases of the Eye and Adnexa (H00-H59) |
| Definition | Retinal breaks without detachment is a non-billable ICD-10-CM category code (H33.3). | Peripheral retinal degeneration is a non-billable ICD-10-CM category code (H35.4). |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources