H31.01
Non-Billable

Macula scars of posterior pole (postinflammatory) (post-traumatic)

Non-Billable / Non-Specific Code

What is Macula scars of posterior pole (postinflammatory) (post-traumatic)?

ICD-10-CM H31.01 is the diagnosis code for Macula scars of posterior pole (postinflammatory) (post-traumatic). This code falls under the section "Disorders of choroid and retina" within Chapter 7 — Diseases of the eye and adnexa (H00-H59). It is a non-billable/non-specific ICD-10-CM code that should not be used for reimbursement. A more specific sub-code is required for billing. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.

⛔ Excludes1

Coding Guidelines for H31.01

⛔ Type 1 Excludes (Never code together)

The following conditions should never be coded at the same time as H31.01. They are mutually exclusive:

  • postprocedural choriorentinal scar (H59.81-)

ICD-10-CM Code Hierarchy

Understanding where H31.01 sits in the ICD-10-CM classification helps ensure proper coding:

Current CodeH31.01 — Macula scars of posterior pole (postinflammatory) (post-traumatic)
Sub-Codes 4 entries
H31.011Macula scars of posterior pole (postinflammatory) (post-traumatic), right eyeBillableH31.012Macula scars of posterior pole (postinflammatory) (post-traumatic), left eyeBillableH31.013Macula scars of posterior pole (postinflammatory) (post-traumatic), bilateralBillableH31.019Macula scars of posterior pole (postinflammatory) (post-traumatic), unspecified eyeBillable
Related Codes

Frequently Asked Questions

Is H31.01 a billable ICD-10-CM code?

No, H31.01 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.

What does H31.01 mean?

H31.01 is the ICD-10-CM diagnosis code for "Macula scars of posterior pole (postinflammatory) (post-traumatic)". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What is the parent code of H31.01?

The parent code of H31.01 is H31.0 ("Chorioretinal scars"). H31.01 provides a more specific classification within this category.

What section is H31.01 in?

H31.01 is located in Section H30-H36 — "Disorders of choroid and retina" within Chapter 7 of the ICD-10-CM Tabular List.

What are the sub-codes of H31.01?

H31.01 has 4 sub-code(s) that provide more specific detail: H31.011, H31.012, H31.013, H31.019.

When should I use H31.01?

Use H31.01 when the patients documented diagnosis matches "Macula scars of posterior pole (postinflammatory) (post-traumatic)" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.

People Also Ask

What is the ICD-10 code for Macula scars of posterior pole (postinflammatory) (post-traumatic)?

The ICD-10-CM code for Macula scars of posterior pole (postinflammatory) (post-traumatic) is H31.01.

Can H31.01 be used for primary diagnosis?

No, H31.01 is non-billable. Use a more specific sub-code for primary diagnosis billing.

What chapter is H31.01 in?

H31.01 is in Chapter 7 of the ICD-10-CM Tabular List.

What conditions are excluded from H31.01?

Type 1 Excludes for H31.01 include: postprocedural choriorentinal scar (H59.81-).

Is H31.01 valid for 2026?

Yes, H31.01 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousH31.009Unspecified chorioretinal scars, unspecified eyeNext →H31.011Macula scars of posterior pole (postinflammatory) (post-traumatic), right eye
Code Details
H31.01
Macula scars of posterior pole (postinflammatory) (post-traumatic)
Non-Billable / Non-Specific Code
7 — Diseases of the eye and adnexa (H00-H59)
H30-H36 — Disorders of choroid and retina
2026 ICD-10-CM