Non-Billable / Non-Specific Code
ICD-10-CM H36 is the diagnosis code for Retinal disorders in diseases classified elsewhere. 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.
The following conditions should never be coded at the same time as H36. They are mutually exclusive:
Understanding where H36 sits in the ICD-10-CM classification helps ensure proper coding:
No, H36 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.
H36 is the ICD-10-CM diagnosis code for "Retinal disorders in diseases classified elsewhere". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.
H36 is located in Section H30-H36 — "Disorders of choroid and retina" within Chapter 7 of the ICD-10-CM Tabular List.
H36 has 1 sub-code(s) that provide more specific detail: H36.8.
Use H36 when the patients documented diagnosis matches "Retinal disorders in diseases classified elsewhere" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.
The ICD-10-CM code for Retinal disorders in diseases classified elsewhere is H36.
No, H36 is non-billable. Use a more specific sub-code for primary diagnosis billing.
H36 is in Chapter 7 of the ICD-10-CM Tabular List.
Type 1 Excludes for H36 include: arteriosclerotic retinopathy (H35.0-); diabetic retinopathy (E08.3-, E09.3-, E10.3-, E11.3-, E13.3-).
Yes, H36 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.