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ICD-10 Coding for Retinitis Pigmentosa(H35.52, H35.50, H35.5)

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Learn about the ICD-10 coding for retinitis pigmentosa, including documentation requirements and common coding pitfalls.

Also known as:
RPPigmentary Retinal Dystrophy
Related ICD-10 Code Ranges

Complete code families applicable to Retinitis Pigmentosa

H00-H59Primary Range

Diseases of the eye and adnexa

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Primary ICD-10-CM Codes
Pigmentary retinal dystrophy
H35.52Billable
Differential Codes

Alternative codes to consider when ruling out similar conditions

Unspecified hereditary retinal dystrophyH35.50

Documentation & Coding Risks

Avoid these common issues when documenting Retinitis Pigmentosa.

Omitting genetic test results in documentation

Impact

Clinical: Inaccurate diagnosis and treatment planning., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials due to insufficient documentation.

Mitigation

Ensure genetic test results are included in all RP diagnoses., Regular audits of patient records.

Coding H35.52 for suspected RP without confirmation

Impact

Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding standards., Data Quality: Inaccurate data on patient records.

Mitigation

Use symptom codes until RP is confirmed by genetic or clinical tests.

Use of H35.52 without confirmation

Impact

High risk of audit if H35.52 is used without genetic or clinical confirmation.

Mitigation

Require documentation of genetic testing or ERG results before coding.

Frequently Asked Questions

Related condition guides

Documentation requirements, coding pitfalls and FAQs for conditions coded with H35.52.