H34.8190 Central retinal vein occlusion, unspecified eye, with macular edema

Billable ICD-10-CM code, FY2026.

Built from H34.819 with 7th character 0 (with macular edema).

Applies from H34 Retinal vascular occlusions

Excludes1 (never code together)

• amaurosis fugax (G45.3)

Applies from H34.81 Central retinal vein occlusion

7th character note

• One of the following 7th characters is to be assigned to codes in subcategory H34.81 to designate the severity of the occlusion:

7th character required

• 0 — with macular edema
• 1 — with retinal neovascularization
• 2 — stable

Risk adjustment (HCC)

• CMS-HCC V28: HCC 298 — Severe Diabetic Eye Disease, Retinal Vein Occlusion, and Vitreous Hemorrhage

Medicare Code Edits (MCE v43.1 (April 2026))

• Unspecified code (laterality): Unspecified codes for which a more specific code identifying laterality (right, left, bilateral) exists within the same code family.

Code annotations containing back-references to H34.8190

Back-references to H34.81

• Code First: H40.84 Neovascular secondary angle closure glaucoma ("central retinal vein occlusion (H34.81)")

Back-references to H34

• Type 2 Excludes: I74 Arterial embolism and thrombosis ("ophthalmic embolism and thrombosis (H34.-)")
• Type 2 Excludes: I74 Arterial embolism and thrombosis ("retinal embolism and thrombosis (H34.-)")

Nearby codes

• H34.813 Central retinal vein occlusion, bilateral
• H34.8130 Central retinal vein occlusion, bilateral, with macular edema
• H34.8131 Central retinal vein occlusion, bilateral, with retinal neovascularization
• H34.8132 Central retinal vein occlusion, bilateral, stable
• H34.819 Central retinal vein occlusion, unspecified eye
• H34.8190 Central retinal vein occlusion, unspecified eye, with macular edema (this code)
• H34.8191 Central retinal vein occlusion, unspecified eye, with retinal neovascularization
• H34.8192 Central retinal vein occlusion, unspecified eye, stable
• H34.82 Venous engorgement
• H34.821 Venous engorgement, right eye
• H34.822 Venous engorgement, left eye