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H43.00 vs H43.01

H43.00 (Vitreous prolapse, unspecified eye) compared with H43.01 (Vitreous prolapse, right eye), from the official CMS tabular data. H43.00 and H43.01 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

H43.00
Unspecified
Vitreous prolapse, unspecified eye
H43.01
Right
Vitreous prolapse, right 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. H43.00 and H43.01 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

H43.00Vitreous prolapse, unspecified eyeH43.01Vitreous prolapse, right eye
Billing statusBillableBillable
ClassificationH00-H59 — Diseases of the Eye and Adnexa (H00-H59)H00-H59 — Diseases of the Eye and Adnexa (H00-H59)
DefinitionVitreous prolapse, unspecified eye is a billable ICD-10-CM diagnosis code (H43.00).Vitreous prolapse, right eye is a billable ICD-10-CM diagnosis code (H43.01).

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