ICD-10 Code H36.813 – Nonproliferative sickle-cell retinopathy, bilateral (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code H36.813 – Nonproliferative sickle-cell retinopathy, bilateral
What it is
This code identifies bilateral retinal changes caused by sickle cell disease without neovascular proliferation. It is used when both eyes show nonproliferative sickle-cell retinopathy.
Clinical signs
Findings may include retinal vascular changes, peripheral ischemic areas, or retinal hemorrhages. Clinical features vary; refer to documentation.
When to use this code
Use H36.813 when the provider documents nonproliferative sickle-cell retinopathy affecting both eyes. The record should support sickle-cell retinopathy and specify bilateral involvement. If the note only mentions sickle cell disease without eye findings, check documentation.
Do not use for
Do not use this code for proliferative sickle-cell retinopathy or when only one eye is documented. If the retinal condition is unspecified, check documentation.
Coding tip
Confirm both the sickle-cell retinopathy type and bilateral eye involvement before assigning H36.813.