ICD-10 · PDGM grouping
H30-H36 — Disorders of choroid and retina
Every ICD-10-CM code in this range and the PDGM clinical group CMS assigns to it, read from the CMS grouper crosswalk v07.1.26.
OASIS-E2 v1.00.0 · ingested 2026-04-26
Codes in range
410
No clinical group
111
A period cannot be grouped from these.
Barred as primary
8
CMS rejects these in the primary position.
Where these codes group
299 of the 410 codes in H30-H36 group to MMTA - Other. A further 111 are assigned no clinical group at all, which means a 30-day period cannot be grouped from them.
Every code in H30-H36
Descriptions are CMS’s own, abbreviated as CMS abbreviates them.
| Code | Description | Clinical group | Primary position |
|---|---|---|---|
| H30001 | Unspecified focal chorioretinal inflammation, right eye | A | Accepted |
| H30002 | Unspecified focal chorioretinal inflammation, left eye | A | Accepted |
| H30003 | Unspecified focal chorioretinal inflammation, bilateral | A | Accepted |
| H30009 | Unsp focal chorioretinal inflammation, unspecified eye | None | Cannot group |
| H30011 | Focal chorioretinal inflammation, juxtapapillary, right eye | A | Accepted |
| H30012 | Focal chorioretinal inflammation, juxtapapillary, left eye | A | Accepted |
| H30013 | Focal chorioretinal inflammation, juxtapapillary, bilateral | A | Accepted |
| H30019 | Focal chorioretinal inflammation, juxtapapillary, unsp eye | None | Cannot group |
| H30021 | Focal chorioretin inflammation of posterior pole, right eye | A | Accepted |
| H30022 | Focal chorioretinal inflammation of posterior pole, left eye | A | Accepted |
| H30023 | Focal chorioretin inflammation of posterior pole, bilateral | A | Accepted |
| H30029 | Focal chorioretinal inflammation of posterior pole, unsp eye | None | Cannot group |
| H30031 | Focal chorioretinal inflammation, peripheral, right eye | A | Accepted |
| H30032 | Focal chorioretinal inflammation, peripheral, left eye | A | Accepted |
| H30033 | Focal chorioretinal inflammation, peripheral, bilateral | A | Accepted |
| H30039 | Focal chorioretinal inflammation, peripheral, unsp eye | None | Cannot group |
| H30041 | Focal chorioretin inflam, macular or paramacular, right eye | A | Accepted |
| H30042 | Focal chorioretin inflam, macular or paramacular, left eye | A | Accepted |
| H30043 | Focal chorioretin inflam, macular or paramacular, bilateral | A | Accepted |
| H30049 | Focal chorioretin inflam, macular or paramacular, unsp eye | None | Cannot group |
| H30101 | Unsp disseminated chorioretinal inflammation, right eye | A | Accepted |
| H30102 | Unsp disseminated chorioretinal inflammation, left eye | A | Accepted |
| H30103 | Unsp disseminated chorioretinal inflammation, bilateral | A | Accepted |
| H30109 | Unsp disseminated chorioretinal inflammation, unsp eye | None | Too unspecified |
| H30111 | Dissem chorioretin inflammation of posterior pole, right eye | A | Accepted |
| H30112 | Dissem chorioretin inflammation of posterior pole, left eye | A | Accepted |
| H30113 | Dissem chorioretin inflammation of posterior pole, bilateral | A | Accepted |
| H30119 | Dissem chorioretin inflammation of posterior pole, unsp eye | None | Too unspecified |
| H30121 | Disseminated chorioretin inflammation, peripheral right eye | A | Accepted |
| H30122 | Disseminated chorioretin inflammation, peripheral, left eye | A | Accepted |
| H30123 | Disseminated chorioretin inflammation, peripheral, bilateral | A | Accepted |
| H30129 | Disseminated chorioretin inflammation, peripheral, unsp eye | None | Too unspecified |
| H30131 | Dissem chorioretin inflammation, generalized, right eye | A | Accepted |
| H30132 | Disseminated chorioretin inflammation, generalized, left eye | A | Accepted |
| H30133 | Dissem chorioretin inflammation, generalized, bilateral | A | Accepted |
| H30139 | Disseminated chorioretin inflammation, generalized, unsp eye | None | Too unspecified |
| H30141 | Acute post multifoc placoid pigment epitheliopathy, r eye | A | Accepted |
| H30142 | Acute post multifoc placoid pigment epitheliopathy, left eye | A | Accepted |
| H30143 | Acute posterior multifoc placoid pigment epitheliopathy, bi | A | Accepted |
| H30149 | Acute post multifoc placoid pigment epitheliopathy, unsp eye | None | Too unspecified |
| H3020 | Posterior cyclitis, unspecified eye | None | Cannot group |
| H3021 | Posterior cyclitis, right eye | A | Accepted |
| H3022 | Posterior cyclitis, left eye | A | Accepted |
| H3023 | Posterior cyclitis, bilateral | A | Accepted |
| H30811 | Harada's disease, right eye | A | Accepted |
| H30812 | Harada's disease, left eye | A | Accepted |
| H30813 | Harada's disease, bilateral | A | Accepted |
| H30819 | Harada's disease, unspecified eye | None | Cannot group |
| H30891 | Other chorioretinal inflammations, right eye | A | Accepted |
| H30892 | Other chorioretinal inflammations, left eye | A | Accepted |
| H30893 | Other chorioretinal inflammations, bilateral | A | Accepted |
| H30899 | Other chorioretinal inflammations, unspecified eye | None | Too unspecified |
| H3090 | Unspecified chorioretinal inflammation, unspecified eye | None | Too unspecified |
| H3091 | Unspecified chorioretinal inflammation, right eye | A | Accepted |
| H3092 | Unspecified chorioretinal inflammation, left eye | A | Accepted |
| H3093 | Unspecified chorioretinal inflammation, bilateral | A | Accepted |
| H31001 | Unspecified chorioretinal scars, right eye | A | Accepted |
| H31002 | Unspecified chorioretinal scars, left eye | A | Accepted |
| H31003 | Unspecified chorioretinal scars, bilateral | A | Accepted |
| H31009 | Unspecified chorioretinal scars, unspecified eye | None | Cannot group |
| H31011 | Macula scars of posterior pole (post-traumatic), right eye | A | Accepted |
| H31012 | Macula scars of posterior pole (post-traumatic), left eye | A | Accepted |
| H31013 | Macula scars of posterior pole (post-traumatic), bilateral | A | Accepted |
| H31019 | Macula scars of posterior pole (post-traumatic), unsp eye | None | Cannot group |
| H31021 | Solar retinopathy, right eye | A | Accepted |
| H31022 | Solar retinopathy, left eye | A | Accepted |
| H31023 | Solar retinopathy, bilateral | A | Accepted |
| H31029 | Solar retinopathy, unspecified eye | None | Cannot group |
| H31091 | Other chorioretinal scars, right eye | A | Accepted |
| H31092 | Other chorioretinal scars, left eye | A | Accepted |
| H31093 | Other chorioretinal scars, bilateral | A | Accepted |
| H31099 | Other chorioretinal scars, unspecified eye | None | Cannot group |
| H31101 | Choroidal degeneration, unspecified, right eye | A | Accepted |
| H31102 | Choroidal degeneration, unspecified, left eye | A | Accepted |
| H31103 | Choroidal degeneration, unspecified, bilateral | A | Accepted |
| H31109 | Choroidal degeneration, unspecified, unspecified eye | None | Cannot group |
| H31111 | Age-related choroidal atrophy, right eye | A | Accepted |
| H31112 | Age-related choroidal atrophy, left eye | A | Accepted |
| H31113 | Age-related choroidal atrophy, bilateral | A | Accepted |
| H31119 | Age-related choroidal atrophy, unspecified eye | None | Cannot group |
| H31121 | Diffuse secondary atrophy of choroid, right eye | A | Accepted |
| H31122 | Diffuse secondary atrophy of choroid, left eye | A | Accepted |
| H31123 | Diffuse secondary atrophy of choroid, bilateral | A | Accepted |
| H31129 | Diffuse secondary atrophy of choroid, unspecified eye | None | Cannot group |
| H3120 | Hereditary choroidal dystrophy, unspecified | A | Accepted |
| H3121 | Choroideremia | A | Accepted |
| H3122 | Choroidal dystrophy (central areolar) (peripapillary) | A | Accepted |
| H3123 | Gyrate atrophy, choroid | A | Accepted |
| H3129 | Other hereditary choroidal dystrophy | A | Accepted |
| H31301 | Unspecified choroidal hemorrhage, right eye | A | Accepted |
| H31302 | Unspecified choroidal hemorrhage, left eye | A | Accepted |
| H31303 | Unspecified choroidal hemorrhage, bilateral | A | Accepted |
| H31309 | Unspecified choroidal hemorrhage, unspecified eye | None | Cannot group |
| H31311 | Expulsive choroidal hemorrhage, right eye | A | Accepted |
| H31312 | Expulsive choroidal hemorrhage, left eye | A | Accepted |
| H31313 | Expulsive choroidal hemorrhage, bilateral | A | Accepted |
| H31319 | Expulsive choroidal hemorrhage, unspecified eye | None | Cannot group |
| H31321 | Choroidal rupture, right eye | A | Accepted |
| H31322 | Choroidal rupture, left eye | A | Accepted |
| H31323 | Choroidal rupture, bilateral | A | Accepted |
| H31329 | Choroidal rupture, unspecified eye | None | Too unspecified |
| H31401 | Unspecified choroidal detachment, right eye | A | Accepted |
| H31402 | Unspecified choroidal detachment, left eye | A | Accepted |
| H31403 | Unspecified choroidal detachment, bilateral | A | Accepted |
| H31409 | Unspecified choroidal detachment, unspecified eye | None | Too unspecified |
| H31411 | Hemorrhagic choroidal detachment, right eye | A | Accepted |
| H31412 | Hemorrhagic choroidal detachment, left eye | A | Accepted |
| H31413 | Hemorrhagic choroidal detachment, bilateral | A | Accepted |
| H31419 | Hemorrhagic choroidal detachment, unspecified eye | None | Too unspecified |
| H31421 | Serous choroidal detachment, right eye | A | Accepted |
| H31422 | Serous choroidal detachment, left eye | A | Accepted |
| H31423 | Serous choroidal detachment, bilateral | A | Accepted |
| H31429 | Serous choroidal detachment, unspecified eye | None | Too unspecified |
| H318 | Other specified disorders of choroid | A | Accepted |
| H319 | Unspecified disorder of choroid | None | Cannot group |
| H32 | Chorioretinal disorders in diseases classified elsewhere | None | Cannot group |
| H33001 | Unspecified retinal detachment with retinal break, right eye | A | Accepted |
| H33002 | Unspecified retinal detachment with retinal break, left eye | A | Accepted |
| H33003 | Unspecified retinal detachment with retinal break, bilateral | A | Accepted |
| H33009 | Unsp retinal detachment with retinal break, unspecified eye | None | Cannot group |
| H33011 | Retinal detachment with single break, right eye | A | Accepted |
| H33012 | Retinal detachment with single break, left eye | A | Accepted |
| H33013 | Retinal detachment with single break, bilateral | A | Accepted |
| H33019 | Retinal detachment with single break, unspecified eye | None | Cannot group |
| H33021 | Retinal detachment with multiple breaks, right eye | A | Accepted |
| H33022 | Retinal detachment with multiple breaks, left eye | A | Accepted |
| H33023 | Retinal detachment with multiple breaks, bilateral | A | Accepted |
| H33029 | Retinal detachment with multiple breaks, unspecified eye | None | Cannot group |
| H33031 | Retinal detachment with giant retinal tear, right eye | A | Accepted |
| H33032 | Retinal detachment with giant retinal tear, left eye | A | Accepted |
| H33033 | Retinal detachment with giant retinal tear, bilateral | A | Accepted |
| H33039 | Retinal detachment with giant retinal tear, unspecified eye | None | Cannot group |
| H33041 | Retinal detachment with retinal dialysis, right eye | A | Accepted |
| H33042 | Retinal detachment with retinal dialysis, left eye | A | Accepted |
| H33043 | Retinal detachment with retinal dialysis, bilateral | A | Accepted |
| H33049 | Retinal detachment with retinal dialysis, unspecified eye | None | Cannot group |
| H33051 | Total retinal detachment, right eye | A | Accepted |
| H33052 | Total retinal detachment, left eye | A | Accepted |
| H33053 | Total retinal detachment, bilateral | A | Accepted |
| H33059 | Total retinal detachment, unspecified eye | None | Cannot group |
| H33101 | Unspecified retinoschisis, right eye | A | Accepted |
| H33102 | Unspecified retinoschisis, left eye | A | Accepted |
| H33103 | Unspecified retinoschisis, bilateral | A | Accepted |
| H33109 | Unspecified retinoschisis, unspecified eye | None | Cannot group |
| H33111 | Cyst of ora serrata, right eye | A | Accepted |
| H33112 | Cyst of ora serrata, left eye | A | Accepted |
| H33113 | Cyst of ora serrata, bilateral | A | Accepted |
| H33119 | Cyst of ora serrata, unspecified eye | None | Cannot group |
| H33121 | Parasitic cyst of retina, right eye | A | Accepted |
| H33122 | Parasitic cyst of retina, left eye | A | Accepted |
| H33123 | Parasitic cyst of retina, bilateral | A | Accepted |
| H33129 | Parasitic cyst of retina, unspecified eye | None | Too unspecified |
| H33191 | Other retinoschisis and retinal cysts, right eye | A | Accepted |
| H33192 | Other retinoschisis and retinal cysts, left eye | A | Accepted |
| H33193 | Other retinoschisis and retinal cysts, bilateral | A | Accepted |
| H33199 | Other retinoschisis and retinal cysts, unspecified eye | None | Cannot group |
| H3320 | Serous retinal detachment, unspecified eye | None | Too unspecified |
| H3321 | Serous retinal detachment, right eye | A | Accepted |
| H3322 | Serous retinal detachment, left eye | A | Accepted |
| H3323 | Serous retinal detachment, bilateral | A | Accepted |
| H33301 | Unspecified retinal break, right eye | A | Accepted |
| H33302 | Unspecified retinal break, left eye | A | Accepted |
| H33303 | Unspecified retinal break, bilateral | A | Accepted |
| H33309 | Unspecified retinal break, unspecified eye | None | Cannot group |
| H33311 | Horseshoe tear of retina without detachment, right eye | A | Accepted |
| H33312 | Horseshoe tear of retina without detachment, left eye | A | Accepted |
| H33313 | Horseshoe tear of retina without detachment, bilateral | A | Accepted |
| H33319 | Horseshoe tear of retina without detachment, unspecified eye | None | Cannot group |
| H33321 | Round hole, right eye | A | Accepted |
| H33322 | Round hole, left eye | A | Accepted |
| H33323 | Round hole, bilateral | A | Accepted |
| H33329 | Round hole, unspecified eye | None | Cannot group |
| H33331 | Multiple defects of retina without detachment, right eye | A | Accepted |
| H33332 | Multiple defects of retina without detachment, left eye | A | Accepted |
| H33333 | Multiple defects of retina without detachment, bilateral | A | Accepted |
| H33339 | Multiple defects of retina without detachment, unsp eye | None | Cannot group |
| H3340 | Traction detachment of retina, unspecified eye | None | Too unspecified |
| H3341 | Traction detachment of retina, right eye | A | Accepted |
| H3342 | Traction detachment of retina, left eye | A | Accepted |
| H3343 | Traction detachment of retina, bilateral | A | Accepted |
| H338 | Other retinal detachments | A | Accepted |
| H3400 | Transient retinal artery occlusion, unspecified eye | None | Too unspecified |
| H3401 | Transient retinal artery occlusion, right eye | A | Accepted |
| H3402 | Transient retinal artery occlusion, left eye | A | Accepted |
| H3403 | Transient retinal artery occlusion, bilateral | A | Accepted |
| H3410 | Central retinal artery occlusion, unspecified eye | None | Too unspecified |
| H3411 | Central retinal artery occlusion, right eye | A | Accepted |
| H3412 | Central retinal artery occlusion, left eye | A | Accepted |
| H3413 | Central retinal artery occlusion, bilateral | A | Accepted |
| H34211 | Partial retinal artery occlusion, right eye | A | Accepted |
| H34212 | Partial retinal artery occlusion, left eye | A | Accepted |
| H34213 | Partial retinal artery occlusion, bilateral | A | Accepted |
| H34219 | Partial retinal artery occlusion, unspecified eye | None | Too unspecified |
| H34231 | Retinal artery branch occlusion, right eye | A | Accepted |
| H34232 | Retinal artery branch occlusion, left eye | A | Accepted |
| H34233 | Retinal artery branch occlusion, bilateral | A | Accepted |
| H34239 | Retinal artery branch occlusion, unspecified eye | None | Too unspecified |
| H348110 | Central retinal vein occls, right eye, with macular edema | A | Accepted |
| H348111 | Central retinal vein occlusion, right eye, w rtnl neovas | A | Accepted |
| H348112 | Central retinal vein occlusion, right eye, stable | A | Accepted |
| H348120 | Central retinal vein occlusion, left eye, with macular edema | A | Accepted |
| H348121 | Central retinal vein occlusion, left eye, w rtnl neovas | A | Accepted |
| H348122 | Central retinal vein occlusion, left eye, stable | A | Accepted |
| H348130 | Central retinal vein occlusion, bi, with macular edema | A | Accepted |
| H348131 | Central retinal vein occlusion, bilateral, w rtnl neovas | A | Accepted |
| H348132 | Central retinal vein occlusion, bilateral, stable | A | Accepted |
| H348190 | Central retinal vein occlusion, unsp, with macular edema | None | Too unspecified |
| H348191 | Central retinal vein occlusion, unsp, w rtnl neovas | None | Too unspecified |
| H348192 | Central retinal vein occlusion, unspecified eye, stable | None | Too unspecified |
| H34821 | Venous engorgement, right eye | A | Accepted |
| H34822 | Venous engorgement, left eye | A | Accepted |
| H34823 | Venous engorgement, bilateral | A | Accepted |
| H34829 | Venous engorgement, unspecified eye | None | Cannot group |
| H348310 | Trib rtnl vein occlusion, right eye, with macular edema | A | Accepted |
| H348311 | Trib rtnl vein occlusion, right eye, w rtnl neovas | A | Accepted |
| H348312 | Tributary (branch) retinal vein occlusion, right eye, stable | A | Accepted |
| H348320 | Trib rtnl vein occlusion, left eye, with macular edema | A | Accepted |
| H348321 | Trib rtnl vein occlusion, left eye, w rtnl neovas | A | Accepted |
| H348322 | Tributary (branch) retinal vein occlusion, left eye, stable | A | Accepted |
| H348330 | Trib rtnl vein occlusion, bilateral, with macular edema | A | Accepted |
| H348331 | Trib rtnl vein occlusion, bilateral, w rtnl neovas | A | Accepted |
| H348332 | Tributary (branch) retinal vein occlusion, bilateral, stable | A | Accepted |
| H348390 | Trib rtnl vein occlusion, unsp, with macular edema | None | Cannot group |
| H348391 | Trib rtnl vein occlusion, unspecified eye, w rtnl neovas | None | Cannot group |
| H348392 | Trib rtnl vein occlusion, unspecified eye, stable | None | Cannot group |
| H349 | Unspecified retinal vascular occlusion | A | Accepted |
| H3500 | Unspecified background retinopathy | A | Accepted |
| H35011 | Changes in retinal vascular appearance, right eye | A | Accepted |
| H35012 | Changes in retinal vascular appearance, left eye | A | Accepted |
| H35013 | Changes in retinal vascular appearance, bilateral | A | Accepted |
| H35019 | Changes in retinal vascular appearance, unspecified eye | None | Cannot group |
| H35021 | Exudative retinopathy, right eye | A | Accepted |
| H35022 | Exudative retinopathy, left eye | A | Accepted |
| H35023 | Exudative retinopathy, bilateral | A | Accepted |
| H35029 | Exudative retinopathy, unspecified eye | None | Cannot group |
| H35031 | Hypertensive retinopathy, right eye | A | Accepted |
| H35032 | Hypertensive retinopathy, left eye | A | Accepted |
| H35033 | Hypertensive retinopathy, bilateral | A | Accepted |
| H35039 | Hypertensive retinopathy, unspecified eye | None | Cannot group |
| H35041 | Retinal micro-aneurysms, unspecified, right eye | A | Accepted |
| H35042 | Retinal micro-aneurysms, unspecified, left eye | A | Accepted |
| H35043 | Retinal micro-aneurysms, unspecified, bilateral | A | Accepted |
| H35049 | Retinal micro-aneurysms, unspecified, unspecified eye | None | Cannot group |
| H35051 | Retinal neovascularization, unspecified, right eye | A | Accepted |
| H35052 | Retinal neovascularization, unspecified, left eye | A | Accepted |
| H35053 | Retinal neovascularization, unspecified, bilateral | A | Accepted |
| H35059 | Retinal neovascularization, unspecified, unspecified eye | None | Cannot group |
| H35061 | Retinal vasculitis, right eye | A | Accepted |
| H35062 | Retinal vasculitis, left eye | A | Accepted |
| H35063 | Retinal vasculitis, bilateral | A | Accepted |
| H35069 | Retinal vasculitis, unspecified eye | None | Cannot group |
| H35071 | Retinal telangiectasis, right eye | A | Accepted |
| H35072 | Retinal telangiectasis, left eye | A | Accepted |
| H35073 | Retinal telangiectasis, bilateral | A | Accepted |
| H35079 | Retinal telangiectasis, unspecified eye | None | Cannot group |
| H3509 | Other intraretinal microvascular abnormalities | A | Accepted |
| H35101 | Retinopathy of prematurity, unspecified, right eye | A | Accepted |
| H35102 | Retinopathy of prematurity, unspecified, left eye | A | Accepted |
| H35103 | Retinopathy of prematurity, unspecified, bilateral | A | Accepted |
| H35109 | Retinopathy of prematurity, unspecified, unspecified eye | None | Cannot group |
| H35111 | Retinopathy of prematurity, stage 0, right eye | A | Accepted |
| H35112 | Retinopathy of prematurity, stage 0, left eye | A | Accepted |
| H35113 | Retinopathy of prematurity, stage 0, bilateral | A | Accepted |
| H35119 | Retinopathy of prematurity, stage 0, unspecified eye | None | Cannot group |
| H35121 | Retinopathy of prematurity, stage 1, right eye | A | Accepted |
| H35122 | Retinopathy of prematurity, stage 1, left eye | A | Accepted |
| H35123 | Retinopathy of prematurity, stage 1, bilateral | A | Accepted |
| H35129 | Retinopathy of prematurity, stage 1, unspecified eye | None | Cannot group |
| H35131 | Retinopathy of prematurity, stage 2, right eye | A | Accepted |
| H35132 | Retinopathy of prematurity, stage 2, left eye | A | Accepted |
| H35133 | Retinopathy of prematurity, stage 2, bilateral | A | Accepted |
| H35139 | Retinopathy of prematurity, stage 2, unspecified eye | None | Cannot group |
| H35141 | Retinopathy of prematurity, stage 3, right eye | A | Accepted |
| H35142 | Retinopathy of prematurity, stage 3, left eye | A | Accepted |
| H35143 | Retinopathy of prematurity, stage 3, bilateral | A | Accepted |
| H35149 | Retinopathy of prematurity, stage 3, unspecified eye | None | Cannot group |
| H35151 | Retinopathy of prematurity, stage 4, right eye | A | Accepted |
| H35152 | Retinopathy of prematurity, stage 4, left eye | A | Accepted |
| H35153 | Retinopathy of prematurity, stage 4, bilateral | A | Accepted |
| H35159 | Retinopathy of prematurity, stage 4, unspecified eye | None | Cannot group |
| H35161 | Retinopathy of prematurity, stage 5, right eye | A | Accepted |
| H35162 | Retinopathy of prematurity, stage 5, left eye | A | Accepted |
| H35163 | Retinopathy of prematurity, stage 5, bilateral | A | Accepted |
| H35169 | Retinopathy of prematurity, stage 5, unspecified eye | None | Cannot group |
| H35171 | Retrolental fibroplasia, right eye | A | Accepted |
| H35172 | Retrolental fibroplasia, left eye | A | Accepted |
| H35173 | Retrolental fibroplasia, bilateral | A | Accepted |
| H35179 | Retrolental fibroplasia, unspecified eye | None | Cannot group |
| H3520 | Other non-diabetic proliferative retinopathy, unsp eye | None | Cannot group |
| H3521 | Other non-diabetic proliferative retinopathy, right eye | A | Accepted |
| H3522 | Other non-diabetic proliferative retinopathy, left eye | A | Accepted |
| H3523 | Other non-diabetic proliferative retinopathy, bilateral | A | Accepted |
| H3530 | Unspecified macular degeneration | None | Cannot group |
| H353110 | Nexdtve age-related mclr degn, right eye, stage unspecified | A | Accepted |
| H353111 | Nexdtve age-related mclr degn, right eye, early dry stage | A | Accepted |
| H353112 | Nexdtve age-related mclr degn, right eye, intermed dry stage | A | Accepted |
| H353113 | Nexdtve age-rel mclr degn, r eye, adv atrpc w/o sbfvl invl | A | Accepted |
| H353114 | Nexdtve age-rel mclr degn, r eye, adv atrpc with sbfvl invl | A | Accepted |
| H353120 | Nexdtve age-related mclr degn, left eye, stage unspecified | A | Accepted |
| H353121 | Nexdtve age-related mclr degn, left eye, early dry stage | A | Accepted |
| H353122 | Nexdtve age-related mclr degn, left eye, intermed dry stage | A | Accepted |
| H353123 | Nexdtve age-rel mclr degn, l eye, adv atrpc w/o sbfvl invl | A | Accepted |
| H353124 | Nexdtve age-rel mclr degn, l eye, adv atrpc with sbfvl invl | A | Accepted |
| H353130 | Nexdtve age-related mclr degn, bilateral, stage unspecified | A | Accepted |
| H353131 | Nexdtve age-related mclr degn, bilateral, early dry stage | A | Accepted |
| H353132 | Nexdtve age-related mclr degn, bilateral, intermed dry stage | A | Accepted |
| H353133 | Nexdtve age-rel mclr degn, bi, adv atrpc without sbfvl invl | A | Accepted |
| H353134 | Nexdtve age-rel mclr degn, bi, adv atrpc with subfoveal invl | A | Accepted |
| H353190 | Nonexudative age-related mclr degn, unsp, stage unspecified | None | Cannot group |
| H353191 | Nonexudative age-related mclr degn, unsp, early dry stage | None | Cannot group |
| H353192 | Nonexudative age-related mclr degn, unsp, intermed dry stage | None | Cannot group |
| H353193 | Nexdtve age-rel mclr degn, unsp, adv atrpc w/o sbfvl invl | None | Cannot group |
| H353194 | Nexdtve age-rel mclr degn, unsp, adv atrpc with sbfvl invl | None | Cannot group |
| H353210 | Exudative age-rel mclr degn, right eye, stage unspecified | None | Cannot group |
| H353211 | Exdtve age-rel mclr degn, right eye, with actv chrdl neovas | A | Accepted |
| H353212 | Exdtve age-rel mclr degn, right eye, with inact chrdl neovas | A | Accepted |
| H353213 | Exudative age-rel mclr degn, right eye, with inactive scar | A | Accepted |
| H353220 | Exudative age-related mclr degn, left eye, stage unspecified | None | Cannot group |
| H353221 | Exdtve age-rel mclr degn, left eye, with actv chrdl neovas | A | Accepted |
| H353222 | Exdtve age-rel mclr degn, left eye, with inact chrdl neovas | A | Accepted |
| H353223 | Exudative age-rel mclr degn, left eye, with inactive scar | A | Accepted |
| H353230 | Exudative age-rel mclr degn, bilateral, stage unspecified | A | Accepted |
| H353231 | Exudative age-rel mclr degn, bi, with actv chrdl neovas | A | Accepted |
| H353232 | Exudative age-rel mclr degn, bi, with inact chrdl neovas | A | Accepted |
| H353233 | Exudative age-rel mclr degn, bilateral, with inactive scar | A | Accepted |
| H353290 | Exudative age-related mclr degn, unsp, stage unspecified | None | Cannot group |
| H353291 | Exudative age-rel mclr degn, unsp, with actv chrdl neovas | None | Cannot group |
| H353292 | Exudative age-rel mclr degn, unsp, with inact chrdl neovas | None | Cannot group |
| H353293 | Exudative age-related mclr degn, unsp, with inactive scar | None | Cannot group |
| H3533 | Angioid streaks of macula | A | Accepted |
| H35341 | Macular cyst, hole, or pseudohole, right eye | A | Accepted |
| H35342 | Macular cyst, hole, or pseudohole, left eye | A | Accepted |
| H35343 | Macular cyst, hole, or pseudohole, bilateral | A | Accepted |
| H35349 | Macular cyst, hole, or pseudohole, unspecified eye | None | Cannot group |
| H35351 | Cystoid macular degeneration, right eye | A | Accepted |
| H35352 | Cystoid macular degeneration, left eye | A | Accepted |
| H35353 | Cystoid macular degeneration, bilateral | A | Accepted |
| H35359 | Cystoid macular degeneration, unspecified eye | None | Cannot group |
| H35361 | Drusen (degenerative) of macula, right eye | A | Accepted |
| H35362 | Drusen (degenerative) of macula, left eye | A | Accepted |
| H35363 | Drusen (degenerative) of macula, bilateral | A | Accepted |
| H35369 | Drusen (degenerative) of macula, unspecified eye | None | Cannot group |
| H35371 | Puckering of macula, right eye | A | Accepted |
| H35372 | Puckering of macula, left eye | A | Accepted |
| H35373 | Puckering of macula, bilateral | A | Accepted |
| H35379 | Puckering of macula, unspecified eye | None | Cannot group |
| H35381 | Toxic maculopathy, right eye | A | Accepted |
| H35382 | Toxic maculopathy, left eye | A | Accepted |
| H35383 | Toxic maculopathy, bilateral | A | Accepted |
| H35389 | Toxic maculopathy, unspecified eye | None | Cannot group |
| H3540 | Unspecified peripheral retinal degeneration | None | Cannot group |
| H35411 | Lattice degeneration of retina, right eye | A | Accepted |
| H35412 | Lattice degeneration of retina, left eye | A | Accepted |
| H35413 | Lattice degeneration of retina, bilateral | A | Accepted |
| H35419 | Lattice degeneration of retina, unspecified eye | None | Cannot group |
| H35421 | Microcystoid degeneration of retina, right eye | A | Accepted |
| H35422 | Microcystoid degeneration of retina, left eye | A | Accepted |
| H35423 | Microcystoid degeneration of retina, bilateral | A | Accepted |
| H35429 | Microcystoid degeneration of retina, unspecified eye | None | Cannot group |
| H35431 | Paving stone degeneration of retina, right eye | A | Accepted |
| H35432 | Paving stone degeneration of retina, left eye | A | Accepted |
| H35433 | Paving stone degeneration of retina, bilateral | A | Accepted |
| H35439 | Paving stone degeneration of retina, unspecified eye | None | Cannot group |
| H35441 | Age-related reticular degeneration of retina, right eye | A | Accepted |
| H35442 | Age-related reticular degeneration of retina, left eye | A | Accepted |
| H35443 | Age-related reticular degeneration of retina, bilateral | A | Accepted |
| H35449 | Age-related reticular degeneration of retina, unsp eye | None | Cannot group |
| H35451 | Secondary pigmentary degeneration, right eye | A | Accepted |
| H35452 | Secondary pigmentary degeneration, left eye | A | Accepted |
| H35453 | Secondary pigmentary degeneration, bilateral | A | Accepted |
| H35459 | Secondary pigmentary degeneration, unspecified eye | None | Cannot group |
| H35461 | Secondary vitreoretinal degeneration, right eye | A | Accepted |
| H35462 | Secondary vitreoretinal degeneration, left eye | A | Accepted |
| H35463 | Secondary vitreoretinal degeneration, bilateral | A | Accepted |
| H35469 | Secondary vitreoretinal degeneration, unspecified eye | None | Cannot group |
| H3550 | Unspecified hereditary retinal dystrophy | A | Accepted |
| H3551 | Vitreoretinal dystrophy | A | Accepted |
| H3552 | Pigmentary retinal dystrophy | A | Accepted |
| H3553 | Other dystrophies primarily involving the sensory retina | A | Accepted |
| H3554 | Dystrophies primarily w the retinal pigment epithelium | A | Accepted |
| H3560 | Retinal hemorrhage, unspecified eye | None | Cannot group |
| H3561 | Retinal hemorrhage, right eye | A | Accepted |
| H3562 | Retinal hemorrhage, left eye | A | Accepted |
| H3563 | Retinal hemorrhage, bilateral | A | Accepted |
| H3570 | Unspecified separation of retinal layers | None | Cannot group |
| H35711 | Central serous chorioretinopathy, right eye | A | Accepted |
| H35712 | Central serous chorioretinopathy, left eye | A | Accepted |
| H35713 | Central serous chorioretinopathy, bilateral | A | Accepted |
| H35719 | Central serous chorioretinopathy, unspecified eye | None | Cannot group |
| H35721 | Serous detachment of retinal pigment epithelium, right eye | A | Accepted |
| H35722 | Serous detachment of retinal pigment epithelium, left eye | A | Accepted |
| H35723 | Serous detachment of retinal pigment epithelium, bilateral | A | Accepted |
| H35729 | Serous detachment of retinal pigment epithelium, unsp eye | None | Too unspecified |
| H35731 | Hemorrhagic detach of retinal pigment epithelium, right eye | A | Accepted |
| H35732 | Hemorrhagic detach of retinal pigment epithelium, left eye | A | Accepted |
| H35733 | Hemorrhagic detach of retinal pigment epithelium, bilateral | A | Accepted |
| H35739 | Hemorrhagic detach of retinal pigment epithelium, unsp eye | None | Too unspecified |
| H3581 | Retinal edema | A | Accepted |
| H3582 | Retinal ischemia | A | Accepted |
| H3589 | Other specified retinal disorders | A | Accepted |
| H359 | Unspecified retinal disorder | None | Cannot group |
| H36811 | Nonproliferative sickle-cell retinopathy, right eye | None | Not accepted |
| H36812 | Nonproliferative sickle-cell retinopathy, left eye | None | Not accepted |
| H36813 | Nonproliferative sickle-cell retinopathy, bilateral | None | Not accepted |
| H36819 | Nonproliferative sickle-cell retinopathy, unspecified eye | None | Not accepted |
| H36821 | Proliferative sickle-cell retinopathy, right eye | None | Not accepted |
| H36822 | Proliferative sickle-cell retinopathy, left eye | None | Not accepted |
| H36823 | Proliferative sickle-cell retinopathy, bilateral | None | Not accepted |
| H36829 | Proliferative sickle-cell retinopathy, unspecified eye | None | Not accepted |
| H3689 | Other retinal disorders in diseases classified elsewhere | None | Cannot group |
Source: CMS HH PPS Grouper Software v07.1.26, effective 2026-04-01. 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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