H36.812

✓ Billable

Nonproliferative sickle-cell retinopathy, left eye

Diseases of the eye and adnexa (H00-H59)

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❌ Excludes1

inherited

Rules inherited from parent codes in the hierarchy.

  • arteriosclerotic retinopathy (H35.0-)
  • diabetic retinopathy (E08.3-, E09.3-, E10.3-, E11.3-, E13.3-)

📋 Code Instructions

inherited
  • Code first: underlying disease, such as:
  • Code first: lipid storage disorders (E75.-)
  • Code first: sickle-cell disorders (D57.-)

Clinical Description

ICD-10-CM code H36.812 represents nonproliferative sickle-cell retinopathy, left eye. This code falls under the Diseases of the eye and adnexa (H00-H59) classification. It is a billable/specific code valid for HIPAA-covered transactions as of October 1, 2025 (FY2026). This code can be used to indicate a diagnosis for reimbursement purposes on insurance claims.

This is a 7-character code at the 6th level of specificity. This is the most specific code available in this subcategory. Coders should note that H36.812 has 2 Excludes1 restriction(s) — codes that cannot be reported together on the same claim.

Frequently Asked Questions

What is ICD-10 code H36.812?

ICD-10-CM code H36.812 is "Nonproliferative sickle-cell retinopathy, left eye". It belongs to the category: Diseases of the eye and adnexa (H00-H59).

Is H36.812 a billable ICD-10 code?

Yes, H36.812 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What codes are excluded with H36.812?

H36.812 has 2 Excludes1 rule(s). These codes are mutually exclusive and cannot be coded together on the same claim.

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Code Information

CodeH36.812
BillableYes
ParentH36.81
CategoryDiseases of the eye and adnexa (H00-H59)
Excludes12 rule(s)
Excludes20 note(s)

Data Source

CMS ICD-10-CM 2026 Tabular List

Updated October 1, 2025 (FY2026)