Nonproliferative sickle-cell retinopathy, unspecified eye

This code signifies a non-proliferative form of retinopathy specifically associated with sickle cell disease, affecting an unspecified eye. It indicates retinal changes such as salmon patch hemorrhages, black sunbursts, or iridescent spots, without the development of new, abnormal blood vessels. This condition can lead to visual impairment if left unmanaged.

Utilize this code when documentation confirms non-proliferative sickle cell retinopathy, and the specific eye affected (right or left) is not specified. This diagnosis is typically made during an ophthalmologic examination in a patient with a known sickle cell disorder. Supporting documentation should include findings consistent with non-proliferative changes.

• Ensure the documentation clearly states "non-proliferative" to differentiate from proliferative forms (H36.811-, H36.812-, H36.813-).
• Always attempt to clarify the affected eye (right or left) with the provider to use a more specific code (H36.811 or H36.812).
• Remember to also code the underlying sickle cell disease (e.g., D57.0-D57.8) as the primary diagnosis, as the retinopathy is a manifestation of the systemic condition.