H36.811

Documentation support

General coding-documentation guidance — not a substitute for payer-specific requirements or professional coding judgment.

• •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.

Associated MS-DRGs

H36.811 can serve as the principal diagnosis for these Medicare Severity Diagnosis-Related Groups.

Informational only — actual DRG assignment also depends on procedures, complications/comorbidities (CC/MCC), discharge status, and payer-specific rules not reflected here.

• DRG 102Headaches with MCC
• DRG 103Headaches without MCC
• DRG 124Other Disorders of the Eye with MCC or Thrombolytic Agent
• DRG 125Other Disorders of the Eye without MCC