ICD-10 Code H31.011 – Macula scars of posterior pole (postinflammatory) (post-traumatic), right eye (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code H31.011 – Macula scars of posterior pole (postinflammatory) (post-traumatic), right eye
What it is
This code identifies a scar in the macula or posterior pole of the right eye. It is used when the scarring is due to prior inflammation or trauma and affects the retinal area responsible for central vision.
Clinical signs
Typical findings include a visible macular scar on eye examination and possible central visual distortion or reduced sharp vision. Clinical features vary; refer to documentation.
When to use this code
Use this code when the provider documents a postinflammatory or post-traumatic scar specifically in the right macula or posterior pole. It fits follow-up encounters where the scar is the documented condition, even if the original injury or inflammation is no longer active.
Use it only when laterality is clearly right eye. If the record describes a different retinal scar, unspecified eye, or active disease without mention of scarring, check documentation.
Do not use for
Do not use this code for active uveitis, retinal inflammation, or acute eye trauma without a documented scar. Do not assign it when the scar is in the left eye or when the eye is not specified.
Coding tip
Confirm both the cause and laterality in the note before coding H31.011.