Retinal disorders in diseases classified elsewhere H36-

Code First
Code First Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • underlying disease, such as:
  • lipid storage disorders (
    ICD-10-CM Diagnosis Code E75
    • E75 Disorders of sphingolipid metabolism and othe...
    E75.-
    )
  • sickle-cell disorders (
    ICD-10-CM Diagnosis Code D57
    • D57 Sickle-cell disorders
      • D57.0 Hb-SS disease with crisis
        • D57.00 …… unspecified
        • D57.01 Hb-SS disease with acute chest syndrome
        • D57.02 Hb-SS disease with splenic sequestration
        • D57.03 Hb-SS disease with cerebral vascular involvem...
        • D57.09 Hb-SS disease with crisis with other specifie...
      • D57.1 Sickle-cell disease without crisis
      • D57.2 Sickle-cell/Hb-C disease
        • D57.20 …… without crisis
        • D57.21 Sickle-cell/Hb-C disease with crisis
          • D57.211 Sickle-cell/Hb-C disease with acute chest syn...
          • D57.212 Sickle-cell/Hb-C disease with splenic sequest...
          • D57.213 Sickle-cell/Hb-C disease with cerebral vascul...
          • D57.218 Sickle-cell/Hb-C disease with crisis with oth...
          • D57.219 Sickle-cell/Hb-C disease with crisis, unspeci...
      • D57.3 Sickle-cell trait
      • D57.4 Sickle-cell thalassemia
        • D57.40 …… without crisis
        • D57.41 Sickle-cell thalassemia, unspecified, with cr...
          • D57.411 Sickle-cell thalassemia, unspecified, with ac...
          • D57.412 Sickle-cell thalassemia, unspecified, with sp...
          • D57.413 Sickle-cell thalassemia, unspecified, with ce...
          • D57.418 Sickle-cell thalassemia, unspecified, with cr...
          • D57.419 Sickle-cell thalassemia, unspecified, with cr...
        • D57.42 Sickle-cell thalassemia beta zero without cri...
        • D57.43 Sickle-cell thalassemia beta zero with crisis...
          • D57.431 Sickle-cell thalassemia beta zero with acute ...
          • D57.432 Sickle-cell thalassemia beta zero with spleni...
          • D57.433 Sickle-cell thalassemia beta zero with cerebr...
          • D57.438 Sickle-cell thalassemia beta zero with crisis...
          • D57.439 Sickle-cell thalassemia beta zero with crisis...
        • D57.44 Sickle-cell thalassemia beta plus without cri...
        • D57.45 Sickle-cell thalassemia beta plus with crisis...
          • D57.451 Sickle-cell thalassemia beta plus with acute ...
          • D57.452 Sickle-cell thalassemia beta plus with spleni...
          • D57.453 Sickle-cell thalassemia beta plus with cerebr...
          • D57.458 Sickle-cell thalassemia beta plus with crisis...
          • D57.459 Sickle-cell thalassemia beta plus with crisis...
      • D57.8 Other sickle-cell disorders
        • D57.80 …… without crisis
        • D57.81 Other sickle-cell disorders with crisis
          • D57.811 Other sickle-cell disorders with acute chest ...
          • D57.812 Other sickle-cell disorders with splenic sequ...
          • D57.813 Other sickle-cell disorders with cerebral vas...
          • D57.818 Other sickle-cell disorders with crisis with ...
          • D57.819 Other sickle-cell disorders with crisis, unsp...
    D57.-
    )
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as H36. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • arteriosclerotic retinopathy (
    ICD-10-CM Diagnosis Code H35.0

    Background retinopathy and retinal vascular changes

      2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    Code Also
    • any associated hypertension (I10.-)
    H35.0-
    )
  • diabetic retinopathy (
    ICD-10-CM Diagnosis Code E08.3

    Diabetes mellitus due to underlying condition with ophthalmic complications

      2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    E08.3-
    ,
    ICD-10-CM Diagnosis Code E09.3

    Drug or chemical induced diabetes mellitus with ophthalmic complications

      2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    E09.3-
    ,
    ICD-10-CM Diagnosis Code E10.3

    Type 1 diabetes mellitus with ophthalmic complications

      2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    E10.3-
    ,
    ICD-10-CM Diagnosis Code E11.3

    Type 2 diabetes mellitus with ophthalmic complications

      2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    E11.3-
    ,
    ICD-10-CM Diagnosis Code E13.3

    Other specified diabetes mellitus with ophthalmic complications

      2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    E13.3-
    )
Codes
  • H36 Retinal disorders in diseases classified elsewhere