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H43.821 vs H43.822

H43.821 (Vitreomacular adhesion, right eye) compared with H43.822 (Vitreomacular adhesion, left eye), from the official CMS tabular data. H43.821 and H43.822 code the same condition on opposite sides. MedCoder-derived

Relationship

Review

Laterality relationship

H43.821
Right
Vitreomacular adhesion, right eye
H43.822
Left
Vitreomacular adhesion, 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. H43.821 and H43.822 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

H43.821Vitreomacular adhesion, right eyeH43.822Vitreomacular adhesion, left eye
Billing statusBillableBillable
ClassificationH00-H59 — Diseases of the eye and adnexaH00-H59 — Diseases of the eye and adnexa
DefinitionVitreomacular adhesion, right eye is a billable ICD-10-CM diagnosis code (H43.821).Vitreomacular adhesion, left eye is a billable ICD-10-CM diagnosis code (H43.822).

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