H33.8 ICD-10-CM Code: Other retinal detachments
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Coding at a Glance
- Tabular directives
- 1 Excludes1
Inpatient Payment Groups (MS-DRG)
Potential MS-DRG participation — not a DRG assignment.
MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43, Appendix B.
- MS-DRG 124 — OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT (MDC 02)
- MS-DRG 125 — OTHER DISORDERS OF THE EYE WITHOUT MCC (MDC 02)
A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.
Coding instructions
Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for H33.8 in the official ICD-10-CM tabular list, quoted as published.
Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2026Effective: October 1, 2025
Notes without a marker are published on H33.8 itself; “inherited from” names the category or block whose note applies here.
Excludes1 — Not Coded Here
Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
- detachment of retinal pigment epithelium (H35.72-, H35.73-) Compare H33.8 vs H35.72 →
Source: inherited from H33
Coder workflow for H33.8
MedCoder structured workflow — derived from this code’s own official record
Before you code H33.8
- “Other” (NEC) means the condition is specified in the record but no dedicated code captures it. Confirm the documented form is not one a sibling code names before settling on H33.8; if the record states no specifics at all, the unspecified sibling applies instead. “Other” codes are for documented conditions the classification gives no specific code; “unspecified” codes are for records lacking the detail (Guidelines I.A.9.a, I.A.9.b).
See the relationships section · Guide: Other vs unspecified (NEC vs NOS) →
- Check the Excludes1 note: if the documentation supports a condition named there, do not simply proceed with H33.8. Excludes1 conditions are not reported together with this code unless the record shows they are unrelated (Guidelines I.A.12.a).
Choose the right path
- Does the documentation support a condition named in H33.8’s Excludes1 note?
Yes → Do not simply proceed: review the excluded code. Both are reported only when the record shows the two conditions are unrelated.
No → Continue.
Consider H33.8. Then confirm the code is valid for the date of service in the Verify section.
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 sibling code would capture — or its absence, which itself supports the unspecified code.
Official instructions as workflow
Excludes1 — check before selecting H33.8(1 note)
Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with H33.8: the two are not reported together. The one exception is when the record shows the two conditions are unrelated to each other.
See the official tabular notes · Guidelines I.A.12.a
Coding decision scenarios
Pattern scenarios for this code’s structure — decision rules, not clinical cases
Documentation: Both the condition H33.8 describes and a condition named in its Excludes1 note are documented for the same encounter.
Coding question: Can both codes be reported?
Path: Review the Excludes1 note and the excluded code, and look for a provider statement on whether the two conditions are related.
Reason: Excludes1 means the two are not coded together; the exception is when the record shows the conditions are unrelated to each other (Guidelines I.A.12.a).
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.
Code Overview
MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.
Indexed Clinical Terms (1)
Official source data — entries quoted as published, in the Index’s own lookup phrasing
Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code. These are alphabetic-index entries shown as the Index writes them — lookup phrasing, not necessarily the wording of a final diagnosis.
Verify Before Coding
- CC as a secondary diagnosis (FY2026). Can raise the stay's MS-DRG severity tier.
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 structured relationships — computed from published CMS and AHRQ datasets
Other codes that name H33.8 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 Use Additional Code instruction: H44.2C — Degenerative myopia with retinal detachment (via H33.-).
These codes instruct coders to additionally report this code when it applies.
MS-DRG Grouper Relationships (FY2026)
Potential MS-DRG participation — not a DRG assignment.
FY2026 MS-DRG: CC — Complication or Comorbidity. Reported as a secondary diagnosis, this code raises the stay's MS-DRG severity tier — except when the principal diagnosis is one of 74 clinically related codes on its CMS exclusion list.
Named in the grouper logic of 2 MS-DRGs: DRG 124 (MDC 02), DRG 125 (MDC 02).
From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.
Clinical classification (AHRQ CCSR):EYE005 — Retinal and vitreous conditions (default).
Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.
Related Codes
Same clinical process (MS-DRG)
Acts as CC — raises the severity of other admissions. CMS groups these diagnoses into one MS-DRG principal-diagnosis exclusion process — a CC/MCC on this list never raises severity when the principal diagnosis is also on it.
H33.323 — Round hole, bilateral, H33.329 — Round hole, unspecified eye, H33.331 — Multiple defects of retina without detachment, right eye, H33.332 — Multiple defects of retina without detachment, left eye, H33.333 — Multiple defects of retina without detachment, bilateral, H33.339 — Multiple defects of retina without detachment, unspecified eye, H33.40 — Traction detachment of retina, unspecified eye, H33.41 — Traction detachment of retina, right eye, H33.42 — Traction detachment of retina, left eye, H33.43 — Traction detachment of retina, bilateral, H35.70 — Unspecified separation of retinal layers, H35.711 — Central serous chorioretinopathy, right eye, H35.712 — Central serous chorioretinopathy, left eye, H35.713 — Central serous chorioretinopathy, bilateral, H35.719 — Central serous chorioretinopathy, unspecified eye, H35.721 — Serous detachment of retinal pigment epithelium, right eye, H35.722 — Serous detachment of retinal pigment epithelium, left eye, H35.723 — Serous detachment of retinal pigment epithelium, bilateral, H35.729 — Serous detachment of retinal pigment epithelium, unspecified eye, H35.731 — Hemorrhagic detachment of retinal pigment epithelium, right eye, +53 more
Same clinical category (CCSR)
AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Retinal and vitreous conditions).
Same Index main term, other category
The ICD-10-CM Index to Diseases and Injuries files this code under the main term “Detachment”; these codes share that main term but sit in a different category of the Tabular List.
H31.40 — Unspecified choroidal detachment (choroid), H31.41 — Hemorrhagic choroidal detachment (choroid, hemorrhagic), H31.42 — Serous choroidal detachment (choroid, serous), H43.81 — Vitreous degeneration (vitreous), N88.8 — Other specified noninflammatory disorders of cervix uteri (cervix, annular), O71.3 — Obstetric laceration of cervix (cervix, annular, complicating delivery)
Contextual Map
Every relationship of H33.8 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 H33.8 with this related code in Claim Check
Hierarchy
- H00-H59 — Chapter 7: Diseases of the Eye and Adnexa (H00-H59) (H00-H59)[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- H30-H36 — Disorders of choroid and retina[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
Referenced by Use Additional Code instructions
- H44.2C — Degenerative myopia with retinal detachment[Use Additional Code](via H33.-): “code to identify the retinal detachment (H33.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
Clinical classification (CCSR)
- EYE005 — Retinal and vitreous conditions[CCSR]— AHRQ CCSR for ICD-10-CM Diagnoses (HCUP)
MS-DRG Grouper
- CC — Complication or Comorbidity [MS-DRG severity]: “As a secondary diagnosis this code can raise the stay's MS-DRG severity tier (CC).”— CMS MS-DRG Definitions Manual (Appendix C) · FY2026
- DRG 124 — OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT[MS-DRG]: “OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT (MDC 02)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- DRG 125 — OTHER DISORDERS OF THE EYE WITHOUT MCC[MS-DRG]: “OTHER DISORDERS OF THE EYE WITHOUT MCC (MDC 02)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
MDC crossing
- MDC 02 — Diseases and Disorders of the Eye[MDC crossing]: “Diseases and Disorders of the Eye — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs. 1,200 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2026
Index entries
- Detachment, retina (without retinal break) (serous), specified NEC[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
Nearest codes (40)
- H33 — Retinal detachments and breaks[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- H33.121 — Parasitic cyst of retina, right eye[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- H33.122 — Parasitic cyst of retina, left eye[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- H33.123 — Parasitic cyst of retina, bilateral[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- H33.129 — Parasitic cyst of retina, unspecified eye[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- H33.19 — Other retinoschisis and retinal cysts[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- H33.191 — Other retinoschisis and retinal cysts, right eye[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- H33.192 — Other retinoschisis and retinal cysts, left eye[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- and 32 more
Change history
- FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016
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 FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page
- Claim edits Official source data
- CMS Definitions of Medicare Code Edits — v43.1 (April 2026) Release, file and checksum · Publisher’s page
- Inpatient payment groups Official source data
- CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v43 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 structured 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 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.
Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates
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. "H33.8 — Other retinal detachments." ICD-10-CM FY2026. https://medcoder.ai/icd10/code/h33.8-other-retinal-detachments
Change history
- FY2016 — October 1, 2015In the code set at ICD-10-CM adoptionOther retinal detachments
No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027 (effective October 1, 2026), 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 H33.8 in its code family, with their registry titles.
- H33.329 — Round hole, unspecified eye
- H33.33 — Multiple defects of retina without detachment
- H33.331 — Multiple defects of retina without detachment, right eye
- H33.332 — Multiple defects of retina without detachment, left eye
- H33.333 — Multiple defects of retina without detachment, bilateral
- H33.339 — Multiple defects of retina without detachment, unspecified eye
- H33.4 — Traction detachment of retina
- H33.40 — Traction detachment of retina, unspecified eye
- H33.41 — Traction detachment of retina, right eye
- H33.42 — Traction detachment of retina, left eye