Unspecified chorioretinal scars, bilateral

This code describes the presence of scar tissue in both the choroid and retina, where the specific cause or nature of the scarring is not documented. These scars represent areas of damage and atrophy to these critical eye structures, which can result from various underlying conditions.

Use this code when documentation indicates chorioretinal scars are present in both eyes, but the etiology (e.g., inflammatory, degenerative, traumatic) is not specified by the provider. This code is appropriate when the physician explicitly states "unspecified chorioretinal scars, bilateral" or similar phrasing without further detail.

• Avoid using this code if a more specific cause or type of chorioretinal scar is documented (e.g., post-inflammatory, degenerative).
• Ensure the documentation clearly indicates involvement of both eyes; otherwise, use a unilateral code.
• Query the provider for more specific information regarding the etiology or type of scar if available, to allow for more precise coding.