ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 H32

Billable / Specific

Chorioretinal disorders in diseases classified elsewhere

H32
Block
0
Synonyms
58
LCDs
16
Payer Policies
0
Linked CPTs

About ICD-10-CM H32

ICD-10-CM code H32 represents Chorioretinal disorders in diseases classified elsewhere. This is a billable/specific code in the Eye and Adnexa chapter (block H32). The 2026 edition of ICD-10-CM H32 became effective on October 1, 2025.

Type 1 Excludes

Pure excludes, these codes can never be coded together with H32. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

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

Coding Notes

Code First

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

Medicare LCD Coverage for H32

Local Coverage Determinations (LCDs) from CMS MACs that list H32 as a covered diagnosis.

58 LCDs

Showing top 10 of 58 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
Article ID: 53060, Effective: 2025-10-01 00:00:00, 1692 covered, 0 non-covered
CPT 92201 →
CMS LCD: Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
Article ID: 53060, Effective: 2025-10-01 00:00:00, 1692 covered, 0 non-covered
CPT 92250 →
CMS LCD: Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
Article ID: 53060, Effective: 2025-10-01 00:00:00, 1692 covered, 0 non-covered
CPT 92202 →
CMS LCD: Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
Article ID: 53060, Effective: 2025-10-01 00:00:00, 1692 covered, 0 non-covered
CPT 92227 →
CMS LCD: Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
Article ID: 53060, Effective: 2025-10-01 00:00:00, 1692 covered, 0 non-covered
CPT 92228 →
CMS LCD: Billing and Coding: Intraocular Bevacizumab
Article ID: 53008, Effective: 2025-11-06 00:00:00, 341 covered, 0 non-covered
CPT 92134 →
CMS LCD: Billing and Coding: Intraocular Bevacizumab
Article ID: 53008, Effective: 2025-11-06 00:00:00, 341 covered, 0 non-covered
CPT 67028 →
CMS LCD: Billing and Coding: Intraocular Bevacizumab
Article ID: 53008, Effective: 2025-11-06 00:00:00, 341 covered, 0 non-covered
CPT C9257 →
CMS LCD: Billing and Coding: Intraocular Bevacizumab
Article ID: 53008, Effective: 2025-11-06 00:00:00, 341 covered, 0 non-covered
CPT J7999 →
CMS LCD: Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
Article ID: 57804, Effective: 2025-10-01 00:00:00, 725 covered, 1 non-covered
CPT 92134 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing H32.

16 policies

5 Medicare

Billing and Coding: Intraocular Bevacizumab
Policy ID: ART-53008
Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
Policy ID: ART-53060
Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
Policy ID: ART-56537
Billing and Coding: Visual Fields Testing
Policy ID: ART-56551
Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
Policy ID: ART-56692

CPT Codes Commonly Billed with H32

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for H32

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

Convert H32 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
H32 3638 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 H32, Billing FAQ

Is ICD-10 code H32 billable? +

Yes, H32 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What codes are Type 1 Excludes for H32? +

Type 1 Excludes (never code together with H32): chorioretinitis (in):; toxoplasmosis (acquired) (B58.01); tuberculosis (A18.53)

What ICD-9 codes does H32 map to? +

Per CMS GEMs, H32 maps to ICD-9 codes: 3638. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on June 2, 2026.

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