ICD-10 Code H36.823 – Proliferative sickle-cell retinopathy, bilateral (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code H36.823 – Proliferative sickle-cell retinopathy, bilateral
What it is
This code identifies proliferative sickle-cell retinopathy affecting both eyes. It refers to retinal ischemic damage from sickle cell disease with abnormal new vessel growth.
Clinical signs
Typical findings include retinal neovascularization, peripheral ischemia, and possible vitreous hemorrhage or tractional changes. Clinical features vary; refer to documentation.
When to use this code
Use H36.823 when the provider documents proliferative sickle-cell retinopathy in both eyes. Apply it when eye examination or ophthalmology notes confirm bilateral involvement and the retinopathy is specifically described as proliferative.
Do not infer bilaterality from a general sickle-cell eye disorder note. If the record only states sickle-cell retinopathy without proliferative change or eye laterality, check documentation.
Do not use for
Do not use this code for nonproliferative retinopathy, unilateral disease, or unspecified sickle-cell eye findings. Check documentation if the record does not clearly state both eyes and proliferative disease.
Coding tip
Match the code to both laterality and proliferative status; if either is missing, query the provider before coding.