E10. 1 Disease;. I was sure there was one. 1136/ bmjophth-2020-000474 Received 30 March 2020 Revised 17 July 2020 Accepted 20 July 2020 1Ophthalmology, Royal Liverpool and Broadgreen Hospitals NHS Trust, Liverpool, UK 2UOSD Glaucoma, Arcispedale Immediate treatment is imperative if rhegmatogenous retinal detachment is acute and threatens central vision. 21, ICD 10 H44. 7 may differ. 40 may differ. Pneumatic retinopexy (PR) is a minimally invasive, non-incisional procedure for repairing uncomplicated rhegmatogenous retinal detachment. 022 for Retinal detachment with multiple breaks, left eye is a medical classification as listed by WHO under the range -Disorders of c. 4% of RD are rhegmatogenous or combined. 42 Traction detachment of the retina, left eye 2. The detached retina takes a concave shape in contrast to the. Additional Information for ICD-10 Codes: • Certain ICD-10. 12 (varies by region) • 90 day global. 41- ICD = International Classification of Diseases; CM = Clinical Modification used in the United States; (–) = 1, right eye; 2, left eye; 3, bilateral . National holidays shown in gray dashed lines in the following order: New Year’s. [1] It is one of the most common treatable causes of. 5. 04 contain annotation back-references that may be applicable to H33. 2* for high. 354 Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment . ICD-10 code Z79. Appearance is. Retinal tears. The following codes indicate or imply a condition of hyperglycemia and may be billed alone on the claim. Rhegmatogenous retinal detachment (RRD) is the most common form of retinal detachment. Treatment of rhegmatogenous detachment may include sealing retinal breaks (by laser or cryotherapy), supporting the breaks with scleral buckling, pneumatic retinopexy, and/or vitrectomy. ICD-10. The 2024 edition of ICD-10-CM H33. 04 may differ. Options for surgical repair of pediatric rhegmatogenous retinal detachment are basically external reapposition of the retina versus intraocular subretinal fluid drainage and reattachment. Methods Consecutive, retrospective case–control series of patients who underwent pars plana vitrectomy (PPV) and/or scleral buckling (SB) for RRD, with at. It consists of an intravitreal gas injection followed by the maintenance of a postoperative head position and the use of laser or cryopexy to seal the retinal breaks. This is the American ICD-10-CM version of Z86. Use the appropriate retinal detachment ICD-10 code (H33. d One week after application of. 6% of eyes presents with purely tractional retinal detachment, and 86. Methods: Multicenter, retrospective, cohort study of eyes undergoing scleral buckle (SB), pars plana vitrectomy. 6% of eyes were characterized by detachments involving the macula, 44. 10 became effective on October 1, 2023. Toggle navigation. RDs in children are most commonly seen secondary to trauma (44%), myopia (15%), aphakia (10%), retinopathy of prematurity (8%), and other, less common etiologies (23%). 732 to ICD-9-CM. 022 coding with all applicable Excludes 1 and Excludes 2 notes from the section level. 3541. Rhegmatogenous retinal detachment (RRD) is defined as the separation of the neurosensory retina from the retinal pigment epithelium (RPE) secondary to a ‘rhegma’ or break. 031 may differ. Epub 2019 Dec 11. Open Funnel Detachment. ICD 10 code for Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, right eye. ICD-10-CM also added the following codes for stable PDR and PDR without macular edema (“_” is the place for the. Only 4 out of 15 candidate variables were associated with re-RD in the univariate logistic regression analyses with a P < 0. Rhegmatogenous retinal detachment: a review of current practice in diagnosis and management. H33. PR is used to treat up to 15% of all retinal detachments in the United States, and it remains the most commonly employed modality for repair after pars. 002 - other international versions of ICD-10 H33. -) Bilateral partial recent retinal detachments with multiple retinal defects. Pneumatic retinopexy. 361. ICD-10. Separation of retinal layers. 011 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 05 : H00-H59. H21. Rhegmatogenous retinal detachment (RRD) is the most common type of retinal detachment (RD) affecting around 1 per 10,000 people annually [1,2,3]. The 2023 edition of ICD-10-CM H33. This is the American ICD-10-CM version of H33. 1-4 Vitreous degeneration as a process of aging is well understood and is best described as the progressive detachment of the. 22 may differ. ICD 10 code for Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, bilateral. Peeling of the internal limiting membrane (ILM) can prevent post-PPV ERM formation but has a potential negative impact on macular structure and function. edu. 22 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 042 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. -) 124 Other disorders of the eye with mcc or thrombolytic agent. Symptoms are decreased peripheral or central vision, often described as a curtain or dark cloud coming across the field of vision. -) 124 Other disorders of the eye with mcc or thrombolytic agent. Image from BCSC. Purpose To measure the visual outcomes, proliferative vitreoretinopathy (PVR) and retinectomy rates following primary rhegmatogenous retinal detachment (RRD) repair, comparing silicone oil (SO) and heavy SO (Densiron). 053 may differ. Learn about the risk factors, features, and examination of rhegmatogenous retinal detachment (RRD), the most common type of retinal detachment. … unspecified eye. 3543 X E10. It is found in the 2023 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2022 - Sep 30, 2023 . and rhegmatogenous retinal detachment, unspecified eye E103211 Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy withICD 10 code for Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, bilateral. Internal limiting membrane peeling–dependent retinal structural changes after vitrectomy in rhegmatogenous retinal detachment. ↓ See below for any exclusions, inclusions or special notations. Rhegmatogenous Retinal Detachment (RRD) RD associated with a retinal break; usually presents with convex, generalized RD that extends to ora serrata. 721 - other international versions of ICD-10 H35. 051) H33. retinopathy with traction retinal . 0 for Retinal detachment with retinal break is a medical classification as listed by WHO under the range - Diseases of the eye and adnexa . Different surgical techniques exist for the repair of RRD and they include: scleral buckling (SB), pars plana vitrectomy (PPV), a combined PPV/SB,. 012 (RD, single defect, left eye) and Z98. Article PubMed. 3541. Check for an absolute scotoma with indirect ophthalmoscope perimetry: hold a scleral depressor on the observer's side of the condensing lens and document whether patient can see the depressor's shadow. ↑ 22. 812, H36. Traction detachment of retina, left eye. injury (trauma) of eye and orbit ( S05. Retina 38 , 471–479 (2018). A rhegmatogenous retinal detachment (RRD) is caused by a full-thickness retinal tear that allows vitreous fluid to enter the subretinal space. ICD 10 code for Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, bilateral. H33. Retinal detachment with retinal break. Takeaway. The 2024 edition of ICD-10-CM H35. 033 became effective on October 1, 2022. This effect is more marked in cases of rhegmatogenous retinal detachment. Methods: Operative records were used to retrospectively identify all patients with tractional retinal detachments secondary to proliferative diabetic retinopathy surgically repaired with pars plana vitrectomy between. Retinal detachment with retinal dialysis, left eye. Graefes Arch Clin Exp Ophthalmol2020 Mar;258 (3):467-478. The. The relationship between choroidal melanoma and serous retinal detachment has been widely described and it is a well-known risk factor for malignant transformation of choroidal naevus [1,2,3]. 1 The. 732 is grouped within Diagnostic Related Group(s) (MS-DRG v 41. Figure 1 Stacked time series 2014 through 2018 showing 7-day moving average point incidence for cataract surgery (CS), posterior vitreous detachment (PVD) diagnosis, retinal break (RB) treatment, and rhegmatogenous retinal detachment (RRD) repair. The laser makes burns around the retinal tear, creating. The 2024 edition of ICD-10-CM H33. It can happen if you have a small tear or break in your retina. 0): 124. 04 - other international versions of ICD-10 H33. 8. If the recurrent retinal detachment develops during the 90-day global period, modifier -78 applies because the procedure and condition are related and the coding for the initial procedure was 67113. A literature review shows that 7–35% of cases undergoing pars plana vitrectomy (PPV) for complications of diabetic retinopathy had combined RD [ 1 – 3 ], and the occurrence rate. Separation of retinal layers. This is the American ICD-10-CM version of H35. Schwartz-Matsuo syndrome is a rare ocular condition characterized by a triad of rhegmatogenous retinal detachment, aqueous cells in the anterior chamber, and elevated intraocular pressure. The 2024 edition of ICD-10-CM Z86. Prophylaxis of Retinal Detachment. prolapse, or surgery in younger patients), ocular trauma and a contralateral rhegmatogenous retinal detachment and certain peripheral retinal degenerations including lattice degeneration. While the clinical course and outcomes of acute RRD are well-studied,. Management of RRD is. In. This is the American ICD-10-CM version of H33. ICD 10 code for Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, right eye. Objective. 23 became effective on October 1, 2023. Subretinal fluid can be seen extending into the macula. 7 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. Methods A retrospective chart review was performed on cases of 44 total. 359 contain annotation back-references Traction detachment of retina, unspecified eye. The 2023 edition of ICD-10-CM H33. H35. With it, you get a hole, tear, or break in the retina. Find the ICD-10-CM codes for retinal detachment types, such as rhegmatogenous retinal detachment, in this quick reference guide. Rhegmatogenous retinal detachment (RRD) is the most common type of retinal detachment (RD) and may result in significant morbidity and visual disability. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code E11. Known risk factors include myopia and higher axial length of the eye,. 9 per 100,000 persons per year. Annual Review; Added ICD-10 diagnosis codes 12/2020 : 12/2020 : Annual Review ; 12/2021 01/2022 : References . injury (trauma) of eye and orbit ( S05. With proliferative retinopathy, with ; combined traction retinal detach ment and rhegmatogenous retinal . 8 became effective on October 1, 2023. Eye (2022) Rhegmatogenous retinal detachment (RRD) is an ophthalmic emergency, which usually requires prompt surgery to prevent further detachment and restore sensory function. Patients with RRD were identified by the. The 2024 edition of. H. 033 - other international versions of ICD-10 H33. E093551. 012 for Retinal detachment with single break, left eye is a medical classification as listed by WHO under the range - Diseases of the eye and adnexa . H33. H33. This is known as a rhegmatogenous retinal detachment. This ar-. H33. Methods: Incidence rate ratios (IRRs) and their 95% CIs were calculated using conditional Poisson regression. At 12 months. H33. 05 may differ. and rhegmatogenous retinal detachment e10. Rhegmatogenous retinal detachment (RRD) is the most common form of retinal detachment. Introduction. We hope you find it helpful, and thanks for stopping by!. If you have symptoms of a detached retina, go to the eye doctor or the emergency room right away. There are numerous subtypes of retinal detachment 5:. The mean follow-up duration was 5. BMJ Open Ophthalmology 2020;5:e000474. Rhegmatogenous retinal detachment (RRD), detachment of the neurosensory retina from the retinal pigment epithelium (RPE), occurs when fluid enters and accumulates in the subretinal space after e. ICD 10 code for Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, bilateral. ICD-10-CM/PCS MS-DRG v40. injury (trauma) of eye and orbit ( S05. ASSOCIATED CPT CODES. Per Annual ICD-10 Updates: The following codes were added to Group 1: H36. H33. 023 may differ. AHRQ Quality Indicators™ (AHRQ QI™) ICD-10-CM/PCS Specification v2020 Prepared by: Agency for Healthcare Research and Quality U. 8 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. MS-DRG Mapping. 0 Definitions Manual: Skip to content: Appendix C: Principal diagnoses which convert CC/MCC to non-CC. 32- Retinal dialysis 361. Although several. Retina 38 , 471–479 (2018). 0): 124 Other disorders of the eye with mcc or thrombolytic agent H33. 7 may differ. [1] [2] Causes. Inpatient reports were collected from hospitals and coded according to ICD-10-GM. It is found in the 2024 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2023 - Sep 30, 2024 . 0 Definitions Manual: Skip to content: Appendix C: Principal diagnoses which convert CC/MCC to non-CC. H33. Rhegmatogenous retinal detachment; Type 1 Excludes. Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, unspecified eye. In the past two decades, pneumatic retinopexy and vitrectomy have been added to the retina surgeons' reattachment armamentarium. 012 ICD-10 code H33. 002 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. ICD 10 code for Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, right eye. Recent advances in pars plana vitrectomy (PPV) techniques have encouraged retinal surgeons to expand the role of vitrectomy in the management of complicated and uncomplicated pseudophakic RDs. Anatomic success after more than 1 surgery,. While the clinical course and outcomes of acute RRD are well-studied, outcomes of. 829,. 3522 is a billable diagnosis code used to specify a medical diagnosis of type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, left eye. ICD 10 code for Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, unspecified eye. 3543. H33. E11. 059 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Vitrectomy with tamponade is the treatment of choice for more complex retinal detachments. ICD-10-CM also added the following codes for stable PDR and PDR without macular edema (“_” is the place for the laterality code): Treatments for retinal detachment. 3523. 009. H33. Introduction. 7%. 3543 e11. Pediatric rhegmatogenous retinal detachment (RRD) is an. This is usually performed with the patient under topical anesthesia. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code E11. This procedure is indicated for localized detachments such as subclinical retinal detachment. Early treatment can help prevent permanent vision loss. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code E10. 3521. 2* for high myopia) at any point during their enrollment. injury (trauma) of eye and orbit ( S05. 051 became effective on. The 2024 edition of ICD-10-CM H33. 012 may differ. MODIFIERS ICD-10-CM CODE(S) 67113 - Repair of complex retinal detachment with vitrectomy and membrane peeling. 022 - other international versions of ICD-10 H33. Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, right. Methods In a prospective study of forty-five patients with a primary macula-off RRD of 24 hours to 6 weeks duration, the height of the macular detachment was determined by ultrasonography. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code H35. … right. 052 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 69 became effective on October 1, 2023. Summary. 359 became effective on October 1, 2023. serous retinal detachment (without retinal break) (H33. 1, 2 The 5 primary interventions currently used to repair RRD are scleral buckle, 1 pars plana vitrectomy (PPV), 2 pneumatic retinopexy, combined PPV/scleral buckle, and laser. Retinal dialysis at the ora serrata, retinal tears, or rhegmatogenous retinal detachment. With it, you get a hole, tear, or break in the retina. 021 for Retinal detachment with multiple breaks, right eye is a medical classification as listed by WHO under the range -Disorders of . This is the American ICD-10-CM version of H33. H35. This is the American ICD-10-CM version of H33. Rhegmatogenous retinal detachment (RRD) (figure 1) is the most common form of RD occurring in approximately 1 in 10 000 of the population per annum. MedlinePlus. This meta-analysis included 19 cases series and 2 cohort studies with a total of 1929 eyes at baseline. The 2024 edition of ICD-10-CM H35. ICD 10 code for Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, left eye. Vitreous hemorrhage and retinal detachment are the main causes of complete vision loss. Article PubMed. In rhegmatogenous RD, retinal. A tractional macular detachment occurring posttrauma without a retinal break is a unique presentation. Univariate and multivariate logistic regression analyses performed to determine the relationship between variables and re-RD are shown in Table 2. History: A rhegmatogenous retinal detachment in a patient’s left eye had previously been repaired using silicone oil, and the oil must be removed. Showing 226-250: ICD-10-CM Diagnosis Code H59. H33. 11, 361. 6. Cases were defined as ICD-10 H33 (retinal detachments and breaks). -) along with CPT 67113. Pre-retinal fibrous plaques are present inferior to the macula and along the superotemporal arcade. The break is most often caused by. Total retinal detachment, unspecified eye. The code became effective on October 1, 2023 and has multiple exclusions and annotations for other types of retinal detachments and causes. The 2024 edition of ICD-10-CM H33. Right hemorrhagic retinal pigment epithelium detachment; ICD-10-CM H35. It affects approximately 0. 032 became effective on. The guide lists the. 2 - other international versions of ICD-10 H33. Retinal detachment with multiple breaks, unspecified eye. 3543icd-10-cm d iagnosis c odes . Defying the trend to greater specificity, there are no ICD-10 codes for old retinal detachments. H35. -LT: 1, 2, 4: 65815 - Paracentesis of anterior chamber; with removal of blood, with or without irrigation and/or. 124 Other disorders of the eye with mcc or thrombolytic agent; 125 Other disorders of the eye without mcc; Convert H35. H33. 019 - other international versions of ICD-10 H33. Retina. 02 may differ. For a pseudophakic retinal detachment, we almost always advocate for PPV, for three reasons: 1. In rhegmatogenous RD, retinal discontinuity promotes. 031 - other international versions of ICD-10 H33. National. H33. This is the American ICD-10-CM version of H35. 032 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 3541. 2-. 2 - other international versions of ICD-10 H33. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code E11. Rhegmatogenous retinal detachment; H33. Traction detachment of retina, right eye. Rhegmatogenous retinal detachment (RRD) repair is one of the most common vitreoretinal surgeries a surgeon performs. ICD-10-CM: H33. 0):. ICD-10-CM Code for Retinal detachment with single break, right eye H33. There are three different types of retinal detachment: Rhegmatogenous (reg-ma-TODGE-uh-nus). Purpose To investigate risk factors, imaging characteristics, and treatment responses of cystoid macular edema (CME) after rhegmatogenous retinal detachment (RRD) repair. 05 - other international versions of ICD-10 H33. Combined tractional and rhegmatogenous retinal detachment (combined RD) is a rare but serious complication in proliferative diabetic retinopathy (PDR). This is the American ICD-10-CM version of Z86. 049 - other international versions of ICD-10 H33. H33. Rhegmatogenous retinal detachment (RRD) repair is one of the most common vitreoretinal surgeries a surgeon performs. 1. injury (trauma) of eye and orbit ( S05. 38 to 0. 9% by combined tractional and rhegmatogenous retinal detachments (TRD/RRD), and 85. 3542 Type 1 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, left eye. ICD 10 code for Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment. 01 Retinal detachment with single break. Diseases of the eye and adnexa. 04 : H33. 1 Definitions Manual: Skip to content: Appendix C: Principal diagnoses which convert CC/MCC to non-CC. Migraine without aura, intractable. The health care system will roll out additional ICD-10 coding changes this October. Rhegmatogenous retinal detachment (RRD). This is the American ICD-10-CM version of H33. 0. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code E11. Her proliferative diabetic retinopathy (PDR) was highly vascular with large islands of active neovascularization elsewhere (NVE), therefore pre-operative bevacizumab was administered 2 days prior to surgery to. Thanks Diagnosis: 1. Hisatomi, T. 721 became effective on October 1, 2023. Code History. … left eye. . 00 Unspecified retinal detachment with retinal break. 354 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachmentRhegmatogenous retinal detachment (RRD) is the most common form of retinal detachment [] and is characterized by the presence of a retinal break as an entry point of fluid into the subretinal space, leading to separation of the neurosensory retina (NSR) from the retinal pigment epithelium (RPE) [2, 3]. 39% of eyes developed delayed retinal. 009. These include preoperative evaluation, treatment, possible intra- and post-operative complications, retinal re-detachment, and all therapeutic options available for each case. This is the American ICD-10-CM version of H33. 41 - other international versions of ICD-10 H33. This is the American ICD-10-CM version of H33. 1 Previous studies have reported that the involvement of the macula was a poor. 019 became effective on October 1, 2023. Exclusion criteria included traumatic retinal detachments using ICD codes for ocular trauma and serous or exudative retinal detachment. The estimated risk of RRD for men and women, with and without high myopia, is plotted for each of these ten models in the Supplementary Fig. g. Retinal detachment denotes pathologic expansion of the subretinal space, with partial to complete displacement of the retina from its normal association with the retinal pigment epithelium (RPE). Background/aims: The classification of retinal detachment is currently still based on many objective criteria such as duration of symptoms and funduscopic macular status, which leaves some important questions unanswered. Patients must be forewarned that, despite this treatment, the RRD may progress and require additional intervention, including surgery. 1 years (range, 0–30 years). 02 became effective on October 1, 2023. retina (without retinal break) (serous) H33. 41 became effective on October 1, 2023. Purpose: To determine factors associated with loss of good vision (defined as Snellen visual acuity [VA] < 20/40) after surgery among eyes presenting with macula-on primary rhegmatogenous retinal detachment (RRD) with initial VA ≥20/40. Parasitic cyst of retina, unspecified eye. 5% by high complexity detachments or severe fibrovascular proliferation (Table 2 along with pre-operative findings, complications, and other anatomic/functional outcomes). The complex retinal detachment repair CPT code (67113) is bundled with many other codes, because it is considered all-inclusive. 1, ICD 10 H52. It happens slowly over time. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code E08. In this video, Dr. This topic will address the pathophysiology, clinical presentation, treatment, and prevention of retinal. When your. 23 may differ. With proliferative retinopathy, with combined traction retinal detachment and rhegmatogenous retinal detachment E10. For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10-CM code (or codes). Surgical Management. Internal limiting membrane peeling–dependent retinal structural changes after vitrectomy in rhegmatogenous retinal detachment. 032 became effective on October 1, 2023. Codes. Cases were identified using International Classification of Diseases (ICD) 9 and 10 diagnostic codes from the IRIS Registry cohort. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code E13. This is the American ICD-10-CM version of H35. ICD-10-CM Diagnosis Code H33. Drug or chemical induced diabetes mellitus with stable proliferative diabetic retinopathy, right eye. Rhegmatogenous retinal detachment (RRD) is the most common type of retinal detachment (RD) affecting around 1 per 10,000 people annually [1,2,3]. 011 may differ. 012 - Retinal detachment (rhegmatogenous) with single break, left eye; H21. 813, H36.