ICD-10 Code H31.019 – Macula scars of posterior pole (postinflammatory) (post-traumatic), unspecified eye (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code H31.019 – Macula scars of posterior pole (postinflammatory) (post-traumatic), unspecified eye
What it is
This code identifies a scar in the macula or posterior pole of the eye, usually from prior inflammation or trauma. It is used when the affected eye is not specified in the record.
Clinical signs
Findings may include reduced central vision, distortion, or a visible retinal scar on examination. Clinical features vary; refer to documentation.
When to use this code
Use H31.019 when the provider documents a postinflammatory or post-traumatic scar involving the macula or posterior pole and does not identify right or left eye. It also fits follow-up visits for a known scar when the condition is still being managed or documented.
Do not use for
Do not use this code for active inflammation, acute trauma, or retinal disease without a documented scar. If the eye is specified, choose the laterality-specific code instead.
Coding tip
Check the note for laterality and whether the lesion is truly a scar, not an active process.