InnovaRx Innova Health Strategies

H36.813

Nonproliferative sickle-cell retinopathy, bilateral

Billable FY2026 2025-10-01 → 2026-09-30
Exclusions 13 never code together
H36code
Excludes1
H00-H59chapter
Excludes2
  • certain conditions originating in the perinatal period (P04-P96)P04-P96
  • certain infectious and parasitic diseases (A00-B99)A00-B99
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)O00-O9A
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)Q00-Q99
  • diabetes mellitus related eye conditions (E09.3-, E10.3-, E11.3-, E13.3-)E09.3-E10.3-E11.3-E13.3-
  • endocrine, nutritional and metabolic diseases (E00-E88)E00-E88
  • injury (trauma) of eye and orbit (S05.-)S05.-
  • injury, poisoning and certain other consequences of external causes (S00-T88)S00-T88
  • neoplasms (C00-D49)C00-D49
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)R00-R94
  • syphilis related eye disorders (A50.01, A50.3-, A51.43, A52.71)A50.01A50.3-A51.43A52.71

Excludes1 — never code together. The excluded condition and this one are mutually exclusive.

Excludes2 — not included here, but the patient may have both. Code both when documented.

Instructional notes 4
H36code
Code first
  • underlying disease, such as:
  • lipid storage disorders (E75.-)E75.-
  • sickle-cell disorders (D57.-)D57.-
H00-H59chapter
Notes
  • Use an external cause code following the code for the eye condition, if applicable, to identify the cause of the eye condition
Index entries leading here filed at null

No alphabetic index entry points at this code.

Alongside this code 3 same parent — H36.81
Additional references
AHA Coding Clinic® Licence required

Official coding advice for this code. Published by the American Hospital Association. Not included in this installation.

Risk adjustment

CMS22HCC46 CMS28HCC108 ESRD21HCC46 ESRD24HCC46

Presence is a property of the code. Untick a model to hide it everywhere.

This code

Billable
yes
Code set
FY2026
Parent
H36.81
Block
H30-H36
Siblings
3

Present FY2024–FY2027.