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H31.10 ICD-10-CM Code: Unspecified choroidal degeneration

Compare with another code for H31.10Check this code on a claim

Billing Status: NO. This is a non-billable ICD-10-CM code: report a more specific billable code beneath it.

Coding at a Glance

Official instructions
1 inclusion term · 1 Excludes2

What these terms mean →

Not billable · FY2027A non-billable heading in the tabular list: report a more specific code beneath it.

What you need to know

Source: CMS/NCHS Official ICD-10-CM tabular notes, quoted. From the CMS/NCHS tabular list for the release in force. A note the category or block publishes applies to this code too, and is marked with where it comes from.

Excludes2from H31.1Not included here; may be reported together
  • angioid streaks of macula (H35.33)
IncludesWhat this code covers
  • Choroidal sclerosis NOS

Where it sits Source: CMS/NCHS

Under:Chapter 7: Diseases of the Eye and AdnexaH30-H36 Disorders of choroid and retinaH31 Other disorders of choroidH31.1 Choroidal degeneration

Codes under H31.10 (4)

  • H31.101Choroidal degeneration, unspecified, right eyeBillable
  • H31.102Choroidal degeneration, unspecified, left eyeBillable
  • H31.103Choroidal degeneration, unspecified, bilateralBillable
  • H31.109Choroidal degeneration, unspecified, unspecified eyeBillable

Most relevant related codes MedCoder-derived

Read off the official notes above and this code’s own position in the tabular list. Which to report is a documentation question; Compare shows the two side by side.

CompareCheck ClaimView Related Codes

Coding instructions

Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for H31.10 in the official ICD-10-CM tabular list, quoted as published.

Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2027Effective: October 1, 2026

Trace:FY2027 changesChange historyRelease, file and checksum

Notes without a marker are published on H31.10 itself; “inherited from” names the category or block whose note applies here.

Inclusion Terms

Alternative terms the tabular list files under this code.

  • Choroidal sclerosis NOS

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

Source: inherited from H31.1

Coder workflow for H31.10

MedCoder structured workflow — derived from this code’s own official record

Before you code H31.10

  1. H31.10 is not reportable as written. Select the more specific code beneath it that the documentation supports. Codes are reported to the highest level of specificity the classification provides (Guidelines I.B.2).

    ReviewH31.101, H31.102, H31.103, H31.109

    See the relationships section · Guide: How to choose an ICD-10-CM code →

Choose the right path

  1. Does the documentation support one of the more specific codes beneath H31.10?
    Yes → Select that code and continue the checks below on its own page.
    No → H31.10 cannot be reported as written. Where the codes beneath it include an unspecified code, that code applies when the record goes no further; otherwise query for the missing detail.

    ReviewH31.101, H31.102, H31.103, H31.109

Report the code beneath H31.10 that the documentation supports, not H31.10 itself. Then confirm that code is valid for the date of service on its own page.

Documentation check

The provider’s diagnostic statement
Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
Any detail beyond this code’s title
What the record states that a more specific code would capture — or its absence, which itself supports the unspecified code.

Official instructions as workflow

  • Excludes2 — not part of H31.10(1 note)

    Coding workflow: The conditions named in this note are not included in H31.10. When the record documents both, both may be reported; the note is a boundary, not a prohibition.

    CompareH35.33

    See the official tabular notes · Guidelines I.A.12.b

Coding decision scenarios

Pattern scenarios for this code’s structure — decision rules, not clinical cases

Documentation: The provider documents the condition in the terms of this code’s title and records no further detail.

Coding question: Is a more specific sibling code supportable?

Path: Review the specific siblings in this subcategory and what each requires the record to state.

Reason: A more specific code needs documentation of the distinguishing element; without it the unspecified code is appropriate, and a provider query is the route to specificity (Guidelines I.A.9.b, I.B.18).

ReviewH31.11, H31.12

Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.

Don’t confuse H31.10 with…

MedCoder analysis — pairs from this code’s official notes, distinctions written by MedCoder

The codes most likely to be picked instead of H31.10 — named in its own official notes, or sharing its laterality or encounter family — with what separates them and which documentation moves the case. Each links to the full comparison.

  • H35.33— Excludes2 relationship (Informational)

    Distinct conditions — both may be reported.

    A distinct condition — both may be reported when both are documented.

    What moves you there: Documentation of angioid streaks of macula adds H35.33; it is not part of this code and both may be reported when both are documented.

    Full comparison: H31.10 vs H35.33 →

Relationships are read from this code's own official notes, its laterality siblings and its encounter family; the wording of each distinction is MedCoder editorial, and the documentation named in each “what moves you there” line is the official note phrase or sibling title itself. Source: CMS ICD-10-CM tabular instructional notes; ICD-10-CM Official Guidelines, Section I.A.12.a.

Coding context

Guidelines, coding notes, decision aids, relationships (with MS-DRG and CCSR classification), hierarchy, HCC, coverage and the context map: what a coder reaches for after the core. Each section names whether it is official source data, a MedCoder-derived relationship or MedCoder editorial.

Code Overview

Unspecified choroidal degeneration is a non-billable ICD-10-CM category code (H31.10). A more specific billable subcode must be selected for claims submission.

MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.

Verify Before Coding

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.

Relationships & Classification

MedCoder-derived relationships — computed from published CMS and AHRQ datasets

Other codes that name H31.10 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.

Referenced by 1 Excludes1 note: H35.5 — Hereditary retinal dystrophy (via H31.1.-).

These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.

Referenced by 1 Use Additional Code instruction: H44.2A — Degenerative myopia with choroidal neovascularization (via H31.-).

These codes instruct coders to additionally report this code when it applies.

Related Codes

Same Index main term, other category

The ICD-10-CM Index to Diseases and Injuries files this code under the main terms “Degeneration, degenerative”, “Atrophy, atrophic”; these codes share that main term but sit in a different category of the Tabular List.

H18.43 — Other calcerous corneal degeneration (cornea, calcerous), H18.45 — Nodular corneal degeneration (cornea, nodular), H18.46 — Peripheral corneal degeneration (cornea, peripheral), H18.49 — Other corneal degeneration (cornea, hyaline), H21.21 — Degeneration of chamber angle (chamber angle), H21.22 — Degeneration of ciliary body (ciliary body), H21.23 — Degeneration of iris (pigmentary) (iris), H21.24 — Degeneration of pupillary margin (pupillary margin), H21.26 — Iris atrophy (essential) (progressive) (iris), H21.29 — Other iris atrophy (iris, specified NEC), H35.30 — Unspecified macular degeneration (macula, macular), H35.31 — Nonexudative age-related macular degeneration (macula, macular, nonexudative), H35.32 — Exudative age-related macular degeneration (Kuhnt-Junius), H35.33 — Angioid streaks of macula (macula, macular, angioid streaks), H35.34 — Macular cyst, hole, or pseudohole (macula, macular, hole), H35.35 — Cystoid macular degeneration (macula, macular, cystoid), H35.36 — Drusen (degenerative) of macula (macula, macular, drusen), H35.37 — Puckering of macula (macula, macular, puckering), H35.38 — Toxic maculopathy (macula, macular, toxic), H35.40 — Unspecified peripheral retinal degeneration (retina, peripheral), +243 more

Contextual Map

Every relationship of H31.10 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Run H31.10 with these 2 related codes in Claim Check

Hierarchy

Referenced by Excludes1 notes

  • H35.5 — Hereditary retinal dystrophy[Excludes1](via H31.1.-): “dystrophies primarily involving Bruch's membrane (H31.1-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027

Referenced by Use Additional Code instructions

Nearest codes (40)

Change history

  • FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016

Reference

Index terms and tables, published questions and FAQ, every source behind this page with its release and checksum, the date-of-service check and the complete change history.

Common coding questions

MedCoder editorial

Can H31.10 be billed directly?

No. H31.10 (Unspecified choroidal degeneration) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.

Sources for this page

Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.

Code, title, tabular notes and index terms Official source data
CMS/CDC ICD-10-CM FY2027 tabular list, index and tables, effective October 1, 2026 Release, file and checksum · Publisher’s page
Claim edits Official source data
CMS Definitions of Medicare Code Edits — v44.0 (October 2026) Release, file and checksum · Publisher’s page
Change history and date-of-service validity Official source data
CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
Comparisons, relationships and the contextual map MedCoder-derived relationship
Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
Summary and FAQ answers MedCoder editorial explanation
Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.

Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 28, 2026 · All releases and sources

Labels on this page: Official source data · MedCoder-derived relationship · MedCoder editorial explanation. How to read the labels · All data sources and release dates · CMS coding rules

Cite this page

Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.

MedCoder.ai. "H31.10 — Unspecified choroidal degeneration." ICD-10-CM FY2027. https://medcoder.ai/icd10/code/h31.10-unspecified-choroidal-degeneration

Change history

  • FY2016 — October 1, 2015
    In the code set at ICD-10-CM adoption
    Unspecified choroidal degeneration

No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027, and none are recorded for this code. Note changes are tracked from FY2027 only.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to H31.10 in its code family, with their registry titles.

View all codes in the H31 family