ICD-10 H35.733
Billable / Specific CCHemorrhagic detachment of retinal pigment epithelium, bilateral
About ICD-10-CM H35.733
ICD-10-CM code H35.733 represents Hemorrhagic detachment of retinal pigment epithelium, bilateral. This is a billable/specific code in the Eye and Adnexa chapter (block H35). The 2026 edition of ICD-10-CM H35.733 became effective on October 1, 2025.
Coding Tips for H35.733
Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.
H35.733 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 Hemorrhagic detachment of retinal pigment epithelium, bilateral. As a Complication/Comorbidity (CC), this contributes to DRG severity adjustment when documented alongside the principal diagnosis.
Medicare LCD Coverage for H35.733
Local Coverage Determinations (LCDs) from CMS MACs that list H35.733 as a covered diagnosis.
Showing top 10 of 101 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing H35.733.
5 Medicare
CPT Codes Commonly Billed with H35.733
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.
Convert H35.733 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| H35.733 | 36243 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To H35.733
Other codes in section H30-H36 (Disorders of choroid and retina).
ICD-10 H35.733, Billing FAQ
Is ICD-10 code H35.733 billable? +
Yes, H35.733 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
Is H35.733 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 H35.733 map to? +
Per CMS GEMs, H35.733 maps to ICD-9 codes: 36243. 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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