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    v1.0.28
    OpenPayerBilling CodesDisorders of choroid and retinaICD-10-CM h33-retinal-detachments-and-breaks
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    ICD-10-CM Code For Retinal Detachments And Breaks: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group H33 includes retinal detachments and retinal breaks, covering conditions such as rhegmatogenous, serous, tractional detachments, and retinal tears. These ICD-10-CM diagnosis codes are used to document specific clinical scenarios involving separation of the neurosensory retina from the retinal pigment epithelium or structural retinal defects, capturing disease mechanism, laterality, and any associated complications. Accurate coding within the ICD-10-CM H33 group supports proper claim adjudication.

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    ICD-10-CM H33: Retinal Detachments And Breaks Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM H33) group covers retinal detachments and retinal breaks, conditions affecting the neurosensory retina and its attachment to the underlying retinal pigment epithelium. These diagnoses target the ocular posterior segment and can threaten vision if not documented and treated appropriately. Precise coding matters because it supports accurate clinical records and is necessary for correct claim adjudication and reimbursement.

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    When to Use

    Use a code from this group when clinical documentation indicates retinal detachment or a retinal break identified by examination or imaging, and when laterality and type are recorded. Select the specific code that matches the detachment mechanism, any associated complications, and the correct laterality as documented in the medical record.

    ICD-10-CM Codes

    65 rows

    ICD-10-CM CodeDescription
    H33.001Unspecified retinal detachment with retinal break, right eye
    H33.002Unspecified retinal detachment with retinal break, left eye
    H33.003Unspecified retinal detachment with retinal break, bilateral
    H33.009Unspecified retinal detachment with retinal break, unspecified eye
    H33.011Retinal detachment with single break, right eye
    H33.012Retinal detachment with single break, left eye
    H33.013Retinal detachment with single break, bilateral
    H33.019Retinal detachment with single break, unspecified eye
    H33.021Retinal detachment with multiple breaks, right eye
    H33.022Retinal detachment with multiple breaks, left eye
    H33.023Retinal detachment with multiple breaks, bilateral
    H33.029Retinal detachment with multiple breaks, unspecified eye
    H33.031Retinal detachment with giant retinal tear, right eye
    H33.032Retinal detachment with giant retinal tear, left eye
    H33.033Retinal detachment with giant retinal tear, bilateral
    H33.039Retinal detachment with giant retinal tear, unspecified eye
    H33.041Retinal detachment with retinal dialysis, right eye
    H33.042Retinal detachment with retinal dialysis, left eye
    H33.043Retinal detachment with retinal dialysis, bilateral
    H33.049Retinal detachment with retinal dialysis, unspecified eye

    Showing 1–20 of 65

    DRG Codes

    4 rows

    DRG CodeDescription
    121Acute Major Eye Infections with CC/MCC
    122Acute Major Eye Infections without CC/MCC
    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 emergency department with sudden painless loss of peripheral vision described as a curtain coming down in one eye after a week of increasing floaters and flashes. Ophthalmic exam with dilated fundus exam and B-scan (if view poor) confirms a rhegmatogenous retinal detachment without macular involvement; the acute nature and documentation of detachment laterality and macular status determine the specific code choice. Typical codes: H33.011, H33.012
    • An elderly diabetic patient is seen in clinic for progressive visual distortion and decreased central vision over months; exam reveals a tractional retinal detachment from proliferative diabetic retinopathy with chronic subretinal fibrosis and shallow elevation of the macula. This chronic, disease-related detachment is coded from the tractional detachment subset and laterality is chosen based on the affected eye. Typical codes: H33.301, H33.302
    • A postoperative patient returns after recent cataract surgery with acute postoperative vision loss and new-onset retinal break with associated localized serous detachment noted on exam; the detachment is recorded as a complication related to the retinal break and the postprocedural timing/eye laterality guides code selection. Typical codes: H33.119, H33.129

    Related Codes

    H30-CHORIORETINAL-INFLAMMATION

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

    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

    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.
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