H32
H32 — Chorioretinal 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.
Code first
The underlying condition must be sequenced before this code.
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.