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ICD-10/H34.831

H34.831 ICD-10-CM Code: Tributary (branch) retinal vein occlusion, right eye

Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.

Official Registry Overview & Definition

Tributary (branch) retinal vein occlusion, right eye is a non-billable ICD-10-CM category code (H34.831). A more specific billable subcode must be selected for claims submission.

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for H34.831 in the official ICD-10-CM tabular list.

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).

Change history

Verify Before Coding

  • Not billable as written — a more specific code is required: H34.8310, H34.8311, H34.8312.
  • Requires a 7th character. "One of the following 7th characters is to be assigned to codes in subcategory H34.83 to designate the severity of the occlusion:" Options: H34.8310, H34.8311, H34.8312

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

Contextual Map

Every relationship of H34.831 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.

Hierarchy

  • H00-H59 — Chapter 7: Diseases of the Eye and Adnexa (H00-H59) (H00-H59) [Hierarchy]
  • H30-H36 — Disorders of choroid and retina [Hierarchy]

Referenced by Excludes2 notes

  • I74 — Arterial embolism and thrombosis [Excludes2](via H34.-): “ophthalmic embolism and thrombosis (H34.-)” · check together

Clinical classification (CCSR)

  • EYE005 — Retinal and vitreous conditions [CCSR]

Nearest codes (40)

  • H34 — Retinal vascular occlusions [Sibling]
  • H34.8 — Other retinal vascular occlusions [Sibling]
  • H34.81 — Central retinal vein occlusion [Sibling]
  • H34.811 — Central retinal vein occlusion, right eye [Sibling]
  • H34.8110 — Central retinal vein occlusion, right eye, with macular edema [Sibling]
  • H34.8111 — Central retinal vein occlusion, right eye, with retinal neovascularization [Sibling]
  • H34.8112 — Central retinal vein occlusion, right eye, stable [Sibling]
  • H34.812 — Central retinal vein occlusion, left eye [Sibling]
  • and 32 more

Change history

  • FY2017 — Became a non-billable header [Change history]

Referenced by Other Codes

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.

Official ICD-10-CM tabular notes on other codes that name H34.831 or its code family.

1 Excludes2 notes: I74 (via H34.-).

Frequently Asked Questions (FAQ) & Clinical Guidance

Can H34.831 be billed directly?

No. H34.831 (Tributary (branch) retinal vein occlusion, right eye) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.

Does H34.831 require a 7th character?

Yes. One of the following 7th characters is to be assigned to codes in subcategory H34.83 to designate the severity of the occlusion:.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to H34.831 in its code family, with their registry titles.

  • H34.821 — Venous engorgement, right eye
  • H34.822 — Venous engorgement, left eye
  • H34.823 — Venous engorgement, bilateral
  • H34.829 — Venous engorgement, unspecified eye
  • H34.83 — Tributary (branch) retinal vein occlusion
  • H34.8310 — Tributary (branch) retinal vein occlusion, right eye, with macular edema
  • H34.8311 — Tributary (branch) retinal vein occlusion, right eye, with retinal neovascularization
  • H34.8312 — Tributary (branch) retinal vein occlusion, right eye, stable
  • H34.832 — Tributary (branch) retinal vein occlusion, left eye
  • H34.8320 — Tributary (branch) retinal vein occlusion, left eye, with macular edema

View all codes in the H34 family