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ICD-10-CM 2027

ICD-10 code for choroid hereditary dystrophy

H31.20

Hereditary choroidal dystrophy, unspecified

✓ Billable / specific

From the official ICD-10-CM alphabetic index entry “Dystrophy, dystrophia › choroid (hereditary)”. Page updated September 29, 2026.

About coding choroid hereditary dystrophy

The ICD-10-CM code for choroid hereditary dystrophy is H31.20 (Hereditary choroidal dystrophy, unspecified). The official index lists 4 more specific codes, so check the documentation for details such as type, cause, site or severity before settling on H31.20.

Within H31.2, choose H31.20 (unspecified) only when documentation doesn't support a more specific option: Choroideremia (H31.21), choroidal dystrophy (central areolar) (generalized) (peripapillary) (H31.22), Gyrate atrophy, choroid (H31.23) and other hereditary choroidal dystrophy (H31.29).

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 124 (Other Disorders of the Eye with MCC or Thrombolytic Agent, relative weight 1.2471) and DRG 125 (Other Disorders of the Eye without MCC, relative weight 0.7702), in MDC 02 (Diseases and Disorders of the Eye), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

More specific choroid hereditary dystrophy codes (official index)

  • central areolar H31.22 — Choroidal dystrophy (central areolar) (generalized) (peripapillary)
  • choroideremia H31.21 — Choroideremia
  • gyrate atrophy H31.23 — Gyrate atrophy, choroid
  • specified type NEC H31.29 — Other hereditary choroidal dystrophy

Common questions about choroid hereditary dystrophy ICD-10 codes

What is the ICD-10 code for choroid hereditary dystrophy?

H31.20 — Hereditary choroidal dystrophy, unspecified. More specific codes apply when the documentation supports them: H31.22, H31.21, H31.23, H31.29.

What is the ICD-10 code for central areolar choroid hereditary dystrophy?

H31.22 — Choroidal dystrophy (central areolar) (generalized) (peripapillary).

What is the ICD-10 code for choroideremia choroid hereditary dystrophy?

H31.21 — Choroideremia.

What is the ICD-10 code for gyrate atrophy choroid hereditary dystrophy?

H31.23 — Gyrate atrophy, choroid.

Is H31.20 billable?

Yes. H31.20 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can H31.20 be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict H31.20 as a principal diagnosis.

Is H31.20 a CC or MCC?

No. H31.20 is neither a CC nor an MCC under MS-DRG v44.0.