Retinopathy of prematurity, stage 5, right eye

This code signifies the most severe form of retinopathy of prematurity (ROP) in the right eye, characterized by a total retinal detachment. Stage 5 ROP represents an advanced, sight-threatening condition resulting from abnormal blood vessel growth in the retina of premature infants.

Assign this code when documentation clearly indicates a diagnosis of Stage 5 ROP affecting the right eye. This typically occurs in premature infants with a history of low birth weight and oxygen therapy, and is supported by ophthalmological examination findings detailing a total retinal detachment.

• Ensure laterality is accurately documented and coded; separate codes exist for the left eye and bilateral involvement.
• Do not confuse with less severe stages of ROP (H35.10-H35.15) or other forms of retinal detachment.
• Look for specific ophthalmology reports detailing the stage of ROP and the affected eye.