Retinopathy of prematurity, stage 3, right eye

This code signifies a severe form of retinopathy of prematurity (ROP) affecting the right eye, characterized by extraretinal fibrovascular proliferation extending into the vitreous. Stage 3 ROP indicates a significant risk of retinal detachment and vision loss if left untreated.

Use this code when documentation explicitly states a diagnosis of Stage 3 ROP in the patient's right eye. This diagnosis is typically made by an ophthalmologist during an eye exam of a premature infant. Supporting documentation should include findings consistent with extraretinal neovascularization.

• Ensure the laterality (right eye) is clearly documented and matches the code.
• Differentiate from other stages of ROP (H35.10-H35.13) based on the severity of the fibrovascular proliferation.
• Always review the medical record for associated conditions, such as prematurity (P07.xx), which may also need to be coded.