2024 ICD-10-CM Diagnosis Code H35.343

Macular cyst, hole, or pseudohole, bilateral

ICD-10-CM Code:
H35.343
ICD-10 Code for:
Macular cyst, hole, or pseudohole, bilateral
Is Billable?
Yes - Valid for Submission
Chronic Condition Indicator: [1]
Chronic
Code Navigator:

Code Classification

  • Diseases of the eye and adnexa
    (H00–H59)
    • Disorders of choroid and retina
      (H30-H36)
      • Other retinal disorders
        (H35)

H35.343 is a billable diagnosis code used to specify a medical diagnosis of macular cyst, hole, or pseudohole, bilateral. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024.

Approximate Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Bilateral full thickness hole of macula of eyes
  • Bilateral macular hole of eyes
  • Bilateral macular pseudohole of eyes
  • Bilateral partial thickness macular hole of eyes
  • Epiretinal membrane
  • Epiretinal membrane of left eye
  • Epiretinal membrane of right eye
  • Full thickness hole of macula lutea
  • Full thickness macular hole of left eye
  • Full thickness macular hole of right eye
  • Macular hole of left eye
  • Macular hole of left eye
  • Macular hole of left eye
  • Macular hole of right eye
  • Macular hole of right eye
  • Macular hole of right eye
  • Macular pseudohole
  • Macular pseudohole of left eye
  • Macular pseudohole of right eye
  • Partial thickness macular hole of left eye
  • Partial thickness macular hole of right eye
  • Retinal macular break

Clinical Classification

Clinical Information

  • Epiretinal Membrane

    a membrane on the vitreal surface of the retina resulting from the proliferation of one or more of three retinal elements: (1) fibrous astrocytes; (2) fibrocytes; and (3) retinal pigment epithelium. localized epiretinal membranes may occur at the posterior pole of the eye without clinical signs or may cause marked loss of vision as a result of covering, distorting, or detaching the fovea centralis. epiretinal membranes may cause vascular leakage and secondary retinal edema. in younger individuals some membranes appear to be developmental in origin and occur in otherwise normal eyes. the majority occur in association with retinal holes, ocular concussions, retinal inflammation, or after ocular surgery. (newell, ophthalmology: principles and concepts, 7th ed, p291)

Convert H35.343 to ICD-9-CM

  • ICD-9-CM Code: 362.54 - Macular cyst or hole
    Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.

Patient Education


Macular Degeneration

Macular degeneration, or age-related macular degeneration (AMD), is a leading cause of vision loss in Americans 60 and older. It is a disease that destroys your sharp, central vision. You need central vision to see objects clearly and to do tasks such as reading and driving.

AMD affects the macula, the part of the eye that allows you to see fine detail. It does not hurt, but it causes cells in the macula to die. There are two types: wet and dry. Wet AMD happens when abnormal blood vessels grow under the macula. These new blood vessels often leak blood and fluid. Wet AMD damages the macula quickly. Blurred vision is a common early symptom. Dry AMD happens when the light-sensitive cells in the macula slowly break down. Your gradually lose your central vision. A common early symptom is that straight lines appear crooked.

Regular comprehensive eye exams can detect macular degeneration before the disease causes vision loss. Treatment can slow vision loss. It does not restore vision.

NIH: National Eye Institute


[Learn More in MedlinePlus]

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.

Footnotes

[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:

  • The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
  • The condition places limitations on self-care, independent living, and social interactions.