MCMCB Pro
H32

H32Chorioretinal disorders in diseases classified elsewhere

Billable / specific codeICD-10-CM

H32 is a billable, specific ICD-10-CM code for chorioretinal disorders in diseases classified elsewhere. It is valid for submission on a claim.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

  • chorioretinitis (in):
  • toxoplasmosis (acquired) (B58.01)
  • tuberculosis (A18.53)

Code first

The underlying condition must be sequenced before this code.

  • underlying disease, such as:
  • congenital toxoplasmosis (P37.1)
  • histoplasmosis (B39.-)
  • leprosy (A30.-)

Risk adjustment

H32 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Medicare coverage

H32 is named in 18 Medicare coverage policies 18 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

  • A53008Billing and Coding: Intraocular Bevacizumab
  • A53060Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
  • A56537Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
  • A56551Billing and Coding: Visual Fields Testing

Questions about H32

Is H32 a billable ICD-10-CM code?
Yes. H32 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does H32 sit in the tabular list?
Diseases of the eye and adnexa (H00-H59), in the block Disorders of choroid and retina (H30-H36).
What cannot be coded together with H32?
H32 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.