H44.2C9 ICD-10-CM Code: Degenerative myopia with retinal detachment, unspecified eye
Compare with another codeCheck this code on a claim
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Coding at a Glance
- Tabular directives
- 1 inclusion term · 1 use-additional code
Billable · FY2027A valid, specific ICD-10-CM code, reportable for dates of service in FY2027.
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; the Instructions section marks which is which.
- Use additional codeReport with this code when documented
- code to identify the retinal detachment (H33.-)
- IncludesWhat this code covers
- disorders affecting multiple structures of eye
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.
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 v44, 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 H44.2C9 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 H44.2C9 itself; “inherited from” names the category or block whose note applies here.
Includes
Conditions the official ICD-10-CM tabular list includes under this code.
- disorders affecting multiple structures of eye
Source: inherited from H44
Use Additional Code
Supplementary codes the tabular list directs you to add.
- Use additional code to identify the retinal detachment (H33.-)
Source: inherited from H44.2C
Coder workflow for H44.2C9
MedCoder structured workflow — derived from this code’s own official record
Before you code H44.2C9
- Unspecified does not mean incorrect. When the record gives no greater specificity, H44.2C9 may be the appropriate code. Check the record for detail that supports a more specific sibling — in this subcategory the siblings differ by the presence or absence of the associated condition. An unspecified code is for records that do not provide the detail a more specific code needs; a query, not an assumption, is the route to specificity (Guidelines I.A.9.b, I.B.18).
ReviewH44.2C1, H44.2C2, H44.2C3
See the relationships section · Guide: Other vs unspecified (NEC vs NOS) →
- Laterality is coded in this family. Confirm the side documented — right, left, or bilateral — and select the matching code (this page’s code: unspecified). The unspecified-side code applies only when the record states no side. Laterality is assigned from the documented side; where a bilateral code exists and both sides are documented, it is used instead of two unilateral codes (Guidelines I.B.13).
ReviewH44.2C1 · right, H44.2C2 · left
- H44.2C9’s title joins a condition with an associated condition or complication. Confirm each component is documented. Where the classification presumes the link through the “with” convention, only a provider statement that the conditions are unrelated defeats it. A combination code is assigned only when it fully identifies the documented conditions; a required second code for the stage, type or manifestation is still reported when the notes ask for it (Guidelines I.B.9, I.A.15).
Choose the right path
- Does the record document the detail a more specific sibling code needs?
Yes → Review the specific siblings in this subcategory.
No → Continue — H44.2C9 is appropriate when the documentation goes no further. - Is the side documented?
Yes → Select the code for the documented side (or the bilateral code when both sides are documented and one exists).
No → Use the unspecified-side code only when the record states no side; a query is the alternative.ReviewH44.2C1 · right, H44.2C2 · left
Consider H44.2C9. Then work the Use Additional Code note, and 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).
- Laterality
- Right, left or bilateral as documented; unspecified only when the record states no side (Guidelines I.B.13).
- The associated condition or complication
- Whether the associated condition the title names is documented; the “with” convention presumes some links, and a provider statement that the conditions are unrelated defeats it (Guidelines I.A.15).
- The conditions the Use Additional Code note names
- Reported with this code when documented; a conditional instruction (“if applicable”, “if known”) applies only when the record supports it.
- 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
Use Additional Code — after identifying H44.2C9(1 note)
Coding workflow: Check whether the documentation supports the additional code(s) the note names, and report them with H44.2C9 when it does. Where the instruction is conditional (“if applicable”, “if known”), it applies only when the record documents the condition.
ReviewH33
See the official tabular notes · Guidelines I.A.13
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).
Documentation: The record documents the condition on one side only.
Coding question: Which code in this family applies?
Path: Select the sibling code for the documented side.
Reason: Laterality is assigned from the documented side; the unspecified-side code is for records that state no side (Guidelines I.B.13).
ReviewH44.2C1 · right, H44.2C2 · left
Documentation: Only one of the components this code’s title joins is documented.
Coding question: Is H44.2C9 supported?
Path: Review the code for the documented component on its own.
Reason: A combination code is assigned only when it fully identifies the documented conditions; otherwise the documented component takes its own code (Guidelines I.B.9).
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.
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
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
- No Medicare Code Editor or MS-DRG Definitions Manual restrictions apply to this code.
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 H44.2C9 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: H52.1 — Myopia (via H44.2.-).
These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.
Referenced by 1 Excludes2 note: H15.8 — Other disorders of sclera (via H44.2.-).
These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.
MS-DRG Grouper Relationships (FY2027)
Potential MS-DRG participation — not a DRG assignment.
FY2027 MS-DRG: not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity for that release.
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):EYE012 — Other specified eye disorders (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 condition, opposite side
Same category and title, differing only in which side of the body is affected.
H44.2C1 — Degenerative myopia with retinal detachment, right eye (right)Compare H44.2C9 vs H44.2C1 →, H44.2C2 — Degenerative myopia with retinal detachment, left eye (left)Compare H44.2C9 vs H44.2C2 →
Same clinical category (CCSR)
AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Other specified eye disorders).
H44.2A2 — Degenerative myopia with choroidal neovascularization, left eye, H44.2A3 — Degenerative myopia with choroidal neovascularization, bilateral, H44.2A9 — Degenerative myopia with choroidal neovascularization, unspecified eye, H44.2B1 — Degenerative myopia with macular hole, right eye, H44.2B2 — Degenerative myopia with macular hole, left eye, H44.2B3 — Degenerative myopia with macular hole, bilateral, H44.2B9 — Degenerative myopia with macular hole, unspecified eye, H44.2C1 — Degenerative myopia with retinal detachment, right eye, H44.2C2 — Degenerative myopia with retinal detachment, left eye, H44.2C3 — Degenerative myopia with retinal detachment, bilateral, H44.2D1 — Degenerative myopia with foveoschisis, right eye, H44.2D2 — Degenerative myopia with foveoschisis, left eye, H44.2D3 — Degenerative myopia with foveoschisis, bilateral, H44.2D9 — Degenerative myopia with foveoschisis, unspecified eye, H44.2E1 — Degenerative myopia with other maculopathy, right eye, H44.2E2 — Degenerative myopia with other maculopathy, left eye, H44.2E3 — Degenerative myopia with other maculopathy, bilateral, H44.2E9 — Degenerative myopia with other maculopathy, unspecified eye, H44.30 — Unspecified degenerative disorder of globe, H44.311 — Chalcosis, right eye, +260 more
Same Index main term, other category
The ICD-10-CM Index to Diseases and Injuries files this code under the main terms “Myopia”, “Change”, “Spots, spotting”, …; these codes share that main term but sit in a different category of the Tabular List.
F07.0 — Personality change due to known physiological condition (personality, due to, general medical condition), F44.4 — Conversion disorder with motor symptom or deficit (voice, psychogenic), F60.89 — Other specific personality disorders (personality, secondary), F68.8 — Other specified disorders of adult personality and behavior (personality), H18.30 — Unspecified corneal membrane change (corneal membrane), H18.31 — Folds and rupture in Bowman's membrane (corneal membrane, Bowman's membrane fold or rupture), H18.32 — Folds in Descemet's membrane (corneal membrane, Descemet's membrane, fold), H18.33 — Rupture in Descemet's membrane (corneal membrane, Descemet's membrane, rupture), H18.51 — Endothelial corneal dystrophy (dystrophy), H35.9 — Unspecified retinal disorder (retina), H52.1 — Myopia, I73.9 — Peripheral vascular disease, unspecified (vasomotor), I78.1 — Nevus, non-neoplastic (ruby), I99.9 — Unspecified disorder of circulatory system (vascular), J34.3 — Hypertrophy of nasal turbinates (hypertrophic, turbinate, nasal), J34.89 — Other specified disorders of nose and nasal sinuses (hypertrophic, nasal sinus), J38.7 — Other diseases of larynx (hyperplastic larynx), J39.8 — Other specified diseases of upper respiratory tract (hypertrophic, upper respiratory tract), K00.8 — Other disorders of tooth development (color, tooth, teeth, during formation), K03.7 — Posteruptive color changes of dental hard tissues (color, tooth, teeth, posteruptive), +47 more
Contextual Map
Every relationship of H44.2C9 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 H44.2C9 with these 2 related codes 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-fy2027
- H43-H44 — Disorders of vitreous body and globe[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
Referenced by Excludes1 notes
- H52.1 — Myopia[Excludes1](via H44.2.-): “degenerative myopia (H44.2-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
Referenced by Excludes2 notes
- H15.8 — Other disorders of sclera[Excludes2](via H44.2.-): “degenerative myopia (H44.2-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
Clinical classification (CCSR)
- EYE012 — Other specified eye disorders[CCSR]— AHRQ CCSR for ICD-10-CM Diagnoses (HCUP)
MS-DRG Grouper
- 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) · FY2027
- 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) · FY2027
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 · FY2027
Nearest codes (40)
- H44 — Disorders of globe[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- H44.19 — Other endophthalmitis[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- H44.2 — Degenerative myopia[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- H44.20 — Degenerative myopia, unspecified eye[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- H44.21 — Degenerative myopia, right eye[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- H44.22 — Degenerative myopia, left eye[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- H44.23 — Degenerative myopia, bilateral[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- H44.2A — Degenerative myopia with choroidal neovascularization[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- and 32 more
Change history
- FY2018 — Added to the code set[Change history]— CMS release files (code change ledger) · icd10cm-fy2018
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.
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
- 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 — v44 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 20, 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. "H44.2C9 — Degenerative myopia with retinal detachment, unspecified eye." ICD-10-CM FY2027. https://medcoder.ai/icd10/code/h44.2c9-degenerative-myopia-with-retinal-detachment-unspecified-eye
Change history
- FY2018 — October 1, 2017Added to the code setDegenerative myopia with retinal detachment, unspecified eyeFY2018 changes
Nearest Codes in This Family
Official ICD-10-CM classifications closest to H44.2C9 in its code family, with their registry titles.
- H44.2B9 — Degenerative myopia with macular hole, unspecified eye
- H44.2C — Degenerative myopia with retinal detachment
- H44.2C1 — Degenerative myopia with retinal detachment, right eye
- H44.2C2 — Degenerative myopia with retinal detachment, left eye
- H44.2C3 — Degenerative myopia with retinal detachment, bilateral
- H44.2D — Degenerative myopia with foveoschisis
- H44.2D1 — Degenerative myopia with foveoschisis, right eye
- H44.2D2 — Degenerative myopia with foveoschisis, left eye
- H44.2D3 — Degenerative myopia with foveoschisis, bilateral
- H44.2D9 — Degenerative myopia with foveoschisis, unspecified eye