October 1 update. Our PDGM and ICD-10 tools now use the FY2027 code set: 190 codes added, 30 deleted, and no existing code changed clinical group.

See what changed

ICD-10 · PDGM grouping

H30 Chorioretinal inflammation

All 56 codes in the H30 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.

ICD-10-CM FY2027 · CMS grouper v07.2.26

Codes in family

56

Can lead a claim

42

Cannot lead a claim

14

What CMS assigns to H30

42 of the 56 codes group to MMTA - Other; 14 are assigned no clinical group. None of the 56 is assigned a comorbidity subgroup. 42 of the 56 can lead a claim.

Every code in H30

Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
H30.0 Focal chorioretinal inflammation
H30.00 Unspecified focal chorioretinal inflammation
H30.001Unspecified focal chorioretinal inflammation, right eyeCan lead a claimANone
H30.002Unspecified focal chorioretinal inflammation, left eyeCan lead a claimANone
H30.003Unspecified focal chorioretinal inflammation, bilateralCan lead a claimANone
H30.009Unspecified focal chorioretinal inflammation, unspecified eyeCMS: Unsp focal chorioretinal inflammation, unspecified eyeCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
H30.01 Focal chorioretinal inflammation, juxtapapillary
H30.011Focal chorioretinal inflammation, juxtapapillary, right eyeCan lead a claimANone
H30.012Focal chorioretinal inflammation, juxtapapillary, left eyeCan lead a claimANone
H30.013Focal chorioretinal inflammation, juxtapapillary, bilateralCan lead a claimANone
H30.019Focal chorioretinal inflammation, juxtapapillary, unspecified eyeCMS: Focal chorioretinal inflammation, juxtapapillary, unsp eyeCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
H30.02 Focal chorioretinal inflammation of posterior pole
H30.021Focal chorioretinal inflammation of posterior pole, right eyeCMS: Focal chorioretin inflammation of posterior pole, right eyeCan lead a claimANone
H30.022Focal chorioretinal inflammation of posterior pole, left eyeCan lead a claimANone
H30.023Focal chorioretinal inflammation of posterior pole, bilateralCMS: Focal chorioretin inflammation of posterior pole, bilateralCan lead a claimANone
H30.029Focal chorioretinal inflammation of posterior pole, unspecified eyeCMS: Focal chorioretinal inflammation of posterior pole, unsp eyeCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
H30.03 Focal chorioretinal inflammation, peripheral
H30.031Focal chorioretinal inflammation, peripheral, right eyeCan lead a claimANone
H30.032Focal chorioretinal inflammation, peripheral, left eyeCan lead a claimANone
H30.033Focal chorioretinal inflammation, peripheral, bilateralCan lead a claimANone
H30.039Focal chorioretinal inflammation, peripheral, unspecified eyeCMS: Focal chorioretinal inflammation, peripheral, unsp eyeCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
H30.04 Focal chorioretinal inflammation, macular or paramacular
H30.041Focal chorioretinal inflammation, macular or paramacular, right eyeCMS: Focal chorioretin inflam, macular or paramacular, right eyeCan lead a claimANone
H30.042Focal chorioretinal inflammation, macular or paramacular, left eyeCMS: Focal chorioretin inflam, macular or paramacular, left eyeCan lead a claimANone
H30.043Focal chorioretinal inflammation, macular or paramacular, bilateralCMS: Focal chorioretin inflam, macular or paramacular, bilateralCan lead a claimANone
H30.049Focal chorioretinal inflammation, macular or paramacular, unspecified eyeCMS: Focal chorioretin inflam, macular or paramacular, unsp eyeCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
H30.1 Disseminated chorioretinal inflammation
H30.10 Unspecified disseminated chorioretinal inflammation
H30.101Unspecified disseminated chorioretinal inflammation, right eyeCMS: Unsp disseminated chorioretinal inflammation, right eyeCan lead a claimANone
H30.102Unspecified disseminated chorioretinal inflammation, left eyeCMS: Unsp disseminated chorioretinal inflammation, left eyeCan lead a claimANone
H30.103Unspecified disseminated chorioretinal inflammation, bilateralCMS: Unsp disseminated chorioretinal inflammation, bilateralCan lead a claimANone
H30.109Unspecified disseminated chorioretinal inflammation, unspecified eyeCMS: Unsp disseminated chorioretinal inflammation, unsp eyeCannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the conditionNoneNone
H30.11 Disseminated chorioretinal inflammation of posterior pole
H30.111Disseminated chorioretinal inflammation of posterior pole, right eyeCMS: Dissem chorioretin inflammation of posterior pole, right eyeCan lead a claimANone
H30.112Disseminated chorioretinal inflammation of posterior pole, left eyeCMS: Dissem chorioretin inflammation of posterior pole, left eyeCan lead a claimANone
H30.113Disseminated chorioretinal inflammation of posterior pole, bilateralCMS: Dissem chorioretin inflammation of posterior pole, bilateralCan lead a claimANone
H30.119Disseminated chorioretinal inflammation of posterior pole, unspecified eyeCMS: Dissem chorioretin inflammation of posterior pole, unsp eyeCannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the conditionNoneNone
H30.12 Disseminated chorioretinal inflammation, peripheral
H30.121Disseminated chorioretinal inflammation, peripheral right eyeCMS: Disseminated chorioretin inflammation, peripheral right eyeCan lead a claimANone
H30.122Disseminated chorioretinal inflammation, peripheral, left eyeCMS: Disseminated chorioretin inflammation, peripheral, left eyeCan lead a claimANone
H30.123Disseminated chorioretinal inflammation, peripheral, bilateralCMS: Disseminated chorioretin inflammation, peripheral, bilateralCan lead a claimANone
H30.129Disseminated chorioretinal inflammation, peripheral, unspecified eyeCMS: Disseminated chorioretin inflammation, peripheral, unsp eyeCannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the conditionNoneNone
H30.13 Disseminated chorioretinal inflammation, generalized
H30.131Disseminated chorioretinal inflammation, generalized, right eyeCMS: Dissem chorioretin inflammation, generalized, right eyeCan lead a claimANone
H30.132Disseminated chorioretinal inflammation, generalized, left eyeCMS: Disseminated chorioretin inflammation, generalized, left eyeCan lead a claimANone
H30.133Disseminated chorioretinal inflammation, generalized, bilateralCMS: Dissem chorioretin inflammation, generalized, bilateralCan lead a claimANone
H30.139Disseminated chorioretinal inflammation, generalized, unspecified eyeCMS: Disseminated chorioretin inflammation, generalized, unsp eyeCannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the conditionNoneNone
H30.14 Acute posterior multifocal placoid pigment epitheliopathy
H30.141Acute posterior multifocal placoid pigment epitheliopathy, right eyeCMS: Acute post multifoc placoid pigment epitheliopathy, r eyeCan lead a claimANone
H30.142Acute posterior multifocal placoid pigment epitheliopathy, left eyeCMS: Acute post multifoc placoid pigment epitheliopathy, left eyeCan lead a claimANone
H30.143Acute posterior multifocal placoid pigment epitheliopathy, bilateralCMS: Acute posterior multifoc placoid pigment epitheliopathy, biCan lead a claimANone
H30.149Acute posterior multifocal placoid pigment epitheliopathy, unspecified eyeCMS: Acute post multifoc placoid pigment epitheliopathy, unsp eyeCannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the conditionNoneNone
H30.2 Posterior cyclitis
H30.20Posterior cyclitis, unspecified eyeCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
H30.21Posterior cyclitis, right eyeCan lead a claimANone
H30.22Posterior cyclitis, left eyeCan lead a claimANone
H30.23Posterior cyclitis, bilateralCan lead a claimANone
H30.8 Other chorioretinal inflammations
H30.81 Harada's disease
H30.811Harada's disease, right eyeCan lead a claimANone
H30.812Harada's disease, left eyeCan lead a claimANone
H30.813Harada's disease, bilateralCan lead a claimANone
H30.819Harada's disease, unspecified eyeCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
H30.89 Other chorioretinal inflammations
H30.891Other chorioretinal inflammations, right eyeCan lead a claimANone
H30.892Other chorioretinal inflammations, left eyeCan lead a claimANone
H30.893Other chorioretinal inflammations, bilateralCan lead a claimANone
H30.899Other chorioretinal inflammations, unspecified eyeCannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the conditionNoneNone
H30.9 Unspecified chorioretinal inflammation
H30.90Unspecified chorioretinal inflammation, unspecified eyeCannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the conditionNoneNone
H30.91Unspecified chorioretinal inflammation, right eyeCan lead a claimANone
H30.92Unspecified chorioretinal inflammation, left eyeCan lead a claimANone
H30.93Unspecified chorioretinal inflammation, bilateralCan lead a claimANone

Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.

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