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ICD-10 H31.093

Other chorioretinal scars, bilateral

ICD10 H31.093 Diseases of the eye and adnexa; ear and mastoid process

Description

Other chorioretinal scars, bilateral

Documentation Requirements

  • Document clinical indications and clear medical necessity supporting the encounter or procedure.
  • Ensure complete provider signatures, credentials, date, and specific place of service (POS).
  • Verify documentation strictly supports code specificity to prevent downcoding or claim denials.

Billing & Coding Tips

  • Verify current payer fee schedules, NCCI edits, and Medically Unlikely Edits (MUEs).
  • Append correct modifiers (e.g., 25, 59, 26, TC) where distinct procedural services or components apply.
  • Confirm pre-authorization rules with Medicare, Medicaid, and commercial plans before submission.

Related Codes

H31 H31.0 H31.00 H31.001 H31.002 H31.003 H31.009 H31.01 H31.011 H31.012 H31.013 H31.019 H31.02 H31.021 H31.022

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