ICD-10 Code H44.2B – Degenerative myopia with macular hole (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code H44.2B – Degenerative myopia with macular hole
What it is
This code identifies degenerative, or pathologic, myopia complicated by a macular hole. It describes a structural retinal defect in a severely myopic eye.
Clinical signs
Patients may have reduced central vision, distortion, or a central scotoma. Imaging or ophthalmic examination may show a full-thickness macular hole in the setting of high myopia.
When to use this code
Use this code when the record clearly documents degenerative myopia and a macular hole in the same eye. You may also use it when the ophthalmologist confirms the diagnosis after exam or retinal imaging. Check documentation if laterality or causality is unclear.
Do not use for
Do not use this code for myopia without a macular hole, or for a macular hole unrelated to degenerative myopia. If the chart only says “suspected” or “rule out,” check documentation.
Coding tip
Code only when both the myopia type and macular hole are documented together, and verify laterality if your system requires it.