ICD-10 Code H36.811 – Nonproliferative sickle-cell retinopathy, right eye (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code H36.811 – Nonproliferative sickle-cell retinopathy, right eye
What it is
This code identifies nonproliferative sickle-cell retinopathy affecting the right eye. It describes retinal changes related to sickle cell disease, without neovascular proliferation.
Clinical signs
Findings may include retinal vessel changes, hemorrhages, or peripheral retinal ischemic changes. Clinical features vary; refer to documentation for the specific ophthalmic findings and laterality.
When to use this code
Use this code when the provider documents nonproliferative sickle-cell retinopathy in the right eye. It is appropriate for ophthalmology notes, problem lists, or encounter diagnoses that clearly identify the retinal complication and eye involved.
If the record only states sickle-cell disease without retinal involvement, do not assign this code. You should also confirm laterality; right eye documentation must be explicit.
Do not use for
Do not use it for proliferative sickle-cell retinopathy or unspecified eye involvement. Check documentation if the note describes a different retinal disorder or does not confirm sickle-cell retinopathy.
Coding tip
Always verify both the sickle-cell retinal complication and the right-eye laterality before coding.