ICD-10 Code H44.2B3 – Degenerative myopia with macular hole, bilateral (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code H44.2B3 – Degenerative myopia with macular hole, bilateral
What it is
This code identifies bilateral degenerative myopia, also called pathologic myopia, with a macular hole in both eyes. Use it when the record shows high myopia complicated by full-thickness macular hole formation.
Clinical signs
Typical findings include severe myopic changes, reduced central vision, and a documented macular hole on eye examination or imaging. Clinical features vary; refer to documentation.
When to use this code
Use this code when the provider documents degenerative myopia affecting both eyes and specifically notes a macular hole in each eye. It is appropriate for ophthalmology visits, surgical evaluations, or follow-up care when the bilateral diagnosis is confirmed. Check documentation if laterality is unclear.
Do not use for
Do not use it for simple myopia without degenerative changes or for a macular hole in only one eye. Do not assign it when the chart does not confirm bilateral involvement.
Coding tip
Verify both laterality and the macular hole diagnosis in the provider note before assigning H44.2B3.