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

ICD-10 H33.333

Billable / Specific

Multiple defects of retina without detachment, bilateral

H33
Block
0
Synonyms
100
LCDs
20
Payer Policies
0
Linked CPTs

About ICD-10-CM H33.333

ICD-10-CM code H33.333 represents Multiple defects of retina without detachment, bilateral. This is a billable/specific code in the Eye and Adnexa chapter (block H33). The 2026 edition of ICD-10-CM H33.333 became effective on October 1, 2025.

Medicare LCD Coverage for H33.333

Local Coverage Determinations (LCDs) from CMS MACs that list H33.333 as a covered diagnosis.

100 LCDs

Showing top 10 of 100 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: Electroretinography (ERG)
Article ID: 57677, Effective: 2024-10-01 00:00:00, 653 covered, 1 non-covered
CPT 92274 →
CMS LCD: Billing and Coding: Electroretinography (ERG)
Article ID: 57677, Effective: 2024-10-01 00:00:00, 653 covered, 1 non-covered
CPT 0509T →
CMS LCD: Billing and Coding: Electroretinography (ERG)
Article ID: 57677, Effective: 2024-10-01 00:00:00, 653 covered, 1 non-covered
CPT 92273 →
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 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing H33.333.

20 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: Electroretinography (ERG)
Policy ID: ART-56672

CPT Codes Commonly Billed with H33.333

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

No procedure linkages on file for H33.333

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 H33.333 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
H33.333 36133 10000

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

ICD-10 H33.333, Billing FAQ

Is ICD-10 code H33.333 billable? +

Yes, H33.333 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What ICD-9 codes does H33.333 map to? +

Per CMS GEMs, H33.333 maps to ICD-9 codes: 36133. 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 May 31, 2026.

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