Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerBilling CodesDisorders of choroid and retinaICD-10-CM h30-chorioretinal-inflammation
    Ask Trek AI about this page

    ICD-10-CM Code For Chorioretinal Inflammation: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group H30 includes inflammatory disorders of the choroid and retina such as chorioretinitis, multifocal choroiditis, and related posterior uveitic conditions that affect the posterior segment of the eye. These ICD-10-CM diagnosis codes are used to document clinical scenarios involving active or chronic inflammation of the choroid and retina, capturing disease laterality, severity, and associated complications relevant to vision. Accurate coding within the ICD-10-CM H30 group supports proper claim adjudication, complete clinical documentation, and appropriate reimbursement.

    Customize your policy alerts

    Sign up for ICD-10-CM Code For Chorioretinal Inflammation: Group Overview policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    ICD-10-CM H30: Chorioretinal Inflammation Overview

    The ICD-10-CM H30 group comprises diagnoses of inflammation affecting the choroid and retina, including multifocal choroiditis, chorioretinitis, and related inflammatory conditions. These disorders target the posterior segment of the eye and can threaten vision if not documented and managed appropriately. Accurate coding ensures the clinical picture, severity, and organ involvement are clearly recorded, which supports correct claim processing and continuity of care.

    Table of contents

    Progress1 / 6

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    When to Use

    Use a code from this group when documentation indicates inflammation of the choroid and/or retina confirmed by clinical examination or imaging. Select specific codes to reflect laterality, acuity, and any documented complications to accurately represent the clinical scenario.

    ICD-10-CM Codes

    56 rows

    ICD-10-CM CodeDescription
    H30.001Unspecified focal chorioretinal inflammation, right eye
    H30.002Unspecified focal chorioretinal inflammation, left eye
    H30.003Unspecified focal chorioretinal inflammation, bilateral
    H30.009Unspecified focal chorioretinal inflammation, unspecified eye
    H30.011Focal chorioretinal inflammation, juxtapapillary, right eye
    H30.012Focal chorioretinal inflammation, juxtapapillary, left eye
    H30.013Focal chorioretinal inflammation, juxtapapillary, bilateral
    H30.019Focal chorioretinal inflammation, juxtapapillary, unspecified eye
    H30.021Focal chorioretinal inflammation of posterior pole, right eye
    H30.022Focal chorioretinal inflammation of posterior pole, left eye
    H30.023Focal chorioretinal inflammation of posterior pole, bilateral
    H30.029Focal chorioretinal inflammation of posterior pole, unspecified eye
    H30.031Focal chorioretinal inflammation, peripheral, right eye
    H30.032Focal chorioretinal inflammation, peripheral, left eye
    H30.033Focal chorioretinal inflammation, peripheral, bilateral
    H30.039Focal chorioretinal inflammation, peripheral, unspecified eye
    H30.041Focal chorioretinal inflammation, macular or paramacular, right eye
    H30.042Focal chorioretinal inflammation, macular or paramacular, left eye
    H30.043Focal chorioretinal inflammation, macular or paramacular, bilateral
    H30.049Focal chorioretinal inflammation, macular or paramacular, unspecified eye

    Showing 1–20 of 56

    DRG Codes

    2 rows

    DRG CodeDescription
    124Other Disorders of the Eye with MCC or Thrombolytic Agent
    125Other Disorders of the Eye without MCC

    Typical Clinical Scenarios

    • A middle-aged patient presents to the ophthalmology clinic with sudden-onset blurred vision, photophobia, and floaters in one eye over several days after a febrile illness. On exam there is anterior chamber cells and vitreous haze with focal chorioretinal lesions and macular edema on OCT, consistent with an acute posterior uveitis affecting the choroid and retina; a chorioretinal inflammation code is assigned to capture the active inflammatory process. Typical codes: H30.011, H30.012
    • An older patient with a history of recurrent bilateral inflammatory eye disease attends routine follow-up for chronic scarring and pigmentary changes of the retina and choroid with decreased visual acuity that has been stable for months. Because the condition represents chronic or inactive chorioretinal inflammation with sequelae rather than an acute flare, a chronic chorioretinal inflammation code from the group is used to document the persistent disorder and guide long-term management. Typical codes: H30.20, H30.21
    • A patient with newly diagnosed systemic sarcoidosis is evaluated for ocular involvement after reporting gradual vision loss and metamorphopsia; fundus exam reveals multifocal chorioretinal lesions and vasculitis consistent with chorioretinal inflammation secondary to a systemic inflammatory disease. The ocular diagnosis from this group is assigned to document the chorioretinal involvement as a complication of the systemic condition and support coordinated care. Typical codes: H30.811, H30.819

    Related Codes

    H31-OTHER-DISORDERS-OF-CHOROID

    ICD-10-CM Code For Other Disorders Of Choroid: Group Overview

    H32-CHORIORETINAL-DISORDERS-SECONDARY

    ICD-10-CM Code For Chorioretinal Disorders In Diseases Classified Elsewhere: Group Overview

    H33-RETINAL-DETACHMENTS-AND-BREAKS

    ICD-10-CM Code For Retinal Detachments And Breaks: Group Overview

    H34-RETINAL-VASCULAR-OCCLUSIONS

    ICD-10-CM Code For Retinal Vascular Occlusions: Group Overview

    H35-OTHER-RETINAL-DISORDERS

    ICD-10-CM Code For Other Retinal Disorders: Group Overview

    H36-RETINAL-DISORDERS-IN-DISEASES-CLASSIFIED-ELSEWHERE

    ICD-10-CM Code For Retinal Disorders In Diseases Classified Elsewhere: Group Overview

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
    Published by

    Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.