H34.8331

Tributary (branch) retinal vein occlusion, bilateral, with retinal neovascularization

Risk-adjusting (HCC)Billable code

HCC risk adjustment mapping

CMS-HCC V28

HCC298

Severe Diabetic Eye Disease, Retinal Vein Occlusion, and Vitreous Hemorrhage

Coding notes

Excludes 1 never coded together · Excludes 2 may co-exist

Inherited from H34.83Tributary (branch) retinal vein occlusion
7th character

One of the following 7th characters is to be assigned to codes in subcategory H34.83 to designate the severity of the occlusion:

Valid 7th characters and their meanings
CharacterMeaning
0with macular edema
1with retinal neovascularization
2stable
Inherited from H34Retinal vascular occlusions
Excludes 1

amaurosis fugax (G45.3)

Inherited from chapter 7Diseases of the eye and adnexa
Excludes 2

certain conditions originating in the perinatal period (P04-P96) certain infectious and parasitic diseases (A00-B99) complications of pregnancy, childbirth and the puerperium (O00-O9A) congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99) diabetes mellitus related eye conditions (E09.3-, E10.3-, E11.3-, E13.3-) endocrine, nutritional and metabolic diseases (E00-E88) injury (trauma) of eye and orbit (S05.-) injury, poisoning and certain other consequences of external causes (S00-T88) neoplasms (C00-D49) symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94) syphilis related eye disorders (A50.01, A50.3-, A51.43, A52.71)

Note

Use an external cause code following the code for the eye condition, if applicable, to identify the cause of the eye condition

Official Guidelines for H34.8331

FY 2026 ›