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

ICD-10 H33.122

Billable / Specific CC

Parasitic cyst of retina, left eye

H33
Block
0
Synonyms
54
LCDs
8
Payer Policies
0
Linked CPTs

About ICD-10-CM H33.122

ICD-10-CM code H33.122 represents Parasitic cyst of retina, left eye. This is a billable/specific code in the Eye and Adnexa chapter (block H33). The 2026 edition of ICD-10-CM H33.122 became effective on October 1, 2025.

Coding Tips for H33.122

Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.

Inpatient DRG impact: CC

H33.122 is designated CC for MS-DRG grouping. On inpatient claims, this code can shift the DRG to the with-CC variant when documented as a present-on-admission secondary diagnosis. Hospital CDI programs flag CC opportunities during chart review. Failure to capture this code may leave 30 to 80 percent of the inpatient stay revenue unrealized.

Inpatient DRG Impact, CC

codes Parasitic cyst of retina, left eye. As a Complication/Comorbidity (CC), this contributes to DRG severity adjustment when documented alongside the principal diagnosis.

Medicare LCD Coverage for H33.122

Local Coverage Determinations (LCDs) from CMS MACs that list H33.122 as a covered diagnosis.

54 LCDs

Showing top 10 of 54 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: Ocular Photography - External
Article ID: 57068, Effective: 2025-10-01 00:00:00, 1056 covered, 0 non-covered
CPT 92285 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing H33.122.

8 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: Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography)
Policy ID: ART-56726
Billing and Coding: Magnetic Resonance Imaging of the Head and Neck
Policy ID: ART-56729
Billing and Coding: Ocular Photography - External
Policy ID: ART-57068

CPT Codes Commonly Billed with H33.122

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

No procedure linkages on file for H33.122

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 H33.122 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
H33.122 36013 10000

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

ICD-10 H33.122, Billing FAQ

Is ICD-10 code H33.122 billable? +

Yes, H33.122 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

Is H33.122 a CC or MCC for inpatient DRG? +

Yes, this code is designated as CC. Documenting as a secondary diagnosis on inpatient claims can shift the DRG to a higher-weighted category.

What ICD-9 codes does H33.122 map to? +

Per CMS GEMs, H33.122 maps to ICD-9 codes: 36013. Useful for legacy data review and historical claim analysis.

Get the full PayerReady toolkit

Free access to CPT/ICD-10 lookup, denial appeals, fee comparator, and claim auditing with credentialing enrollment.

Start free →

Run this code through our claim audit tool

Check NCCI bundling, MUE limits, and modifier logic before submission.

Try the auditor →

Did this page help?

Quick signal so we know what to improve.

Thanks!

If you want a code reference page that doesn't exist yet, email coding@payerready.com.

Sorry to hear that.

Tell us what's missing or wrong: coding@payerready.com. We respond within 5 business days.

Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

Powered by 11K CPT · 98K ICD-10 · 860K MPFS rates · 4.5M NCCI edits · 9.5M NPIs. Our data methodology · About our coding team

Faster Approvals

Ready to Cut Your Enrollment Timeline in Half?

Join providers in all 50 states who handed off credentialing to a dedicated specialist. Create your free account in minutes and start enrolling the same day.

All 50 States Covered
No Long-Term Contracts
HIPAA HIPAA Compliant Platform
Dedicated Specialist Included