ICD-10 H34
Non-Billable HeaderRetinal vascular occlusions
About ICD-10-CM H34
ICD-10-CM code H34 represents Retinal vascular occlusions. This is a non-billable header code in the Eye and Adnexa chapter (block H34). The 2026 edition of ICD-10-CM H34 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Type 1 Excludes
Pure excludes, these codes can never be coded together with H34. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- amaurosis fugax (G45.3)
Medicare LCD Coverage for H34
Local Coverage Determinations (LCDs) from CMS MACs that list H34 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing H34.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but H34 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with H34
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
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.
Codes Adjacent To H34
Other codes in section H30-H36 (Disorders of choroid and retina).
ICD-10 H34, Billing FAQ
Is ICD-10 code H34 billable? +
No, H34 is a non-billable header code. Use a more specific child code from block H34 when submitting claims.
What codes are Type 1 Excludes for H34? +
Type 1 Excludes (never code together with H34): amaurosis fugax (G45.3)
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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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