2024 ICD-10-CM Diagnosis Code H35
Other retinal disorders
- ICD-10-CM Code:
- H35
- ICD-10 Code for:
- Other retinal disorders
- Is Billable?
- Not Valid for Submission
- Code Navigator:
H35 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of other retinal disorders. The code is not specific and is NOT valid for the year 2024 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.
Specific Coding Applicable to Other retinal disorders
Non-specific codes like H35 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10-CM codes with a higher level of specificity when coding for other retinal disorders:
H35.0 for Background retinopathy and retinal vascular changes - NON-BILLABLE CODE
Use H35.00 for Unspecified background retinopathy - BILLABLE CODE
H35.01 for Changes in retinal vascular appearance - NON-BILLABLE CODE
H35.02 for Exudative retinopathy - NON-BILLABLE CODE
H35.03 for Hypertensive retinopathy - NON-BILLABLE CODE
H35.04 for Retinal micro-aneurysms, unspecified - NON-BILLABLE CODE
H35.05 for Retinal neovascularization, unspecified - NON-BILLABLE CODE
H35.06 for Retinal vasculitis - NON-BILLABLE CODE
H35.07 for Retinal telangiectasis - NON-BILLABLE CODE
Use H35.09 for Other intraretinal microvascular abnormalities - BILLABLE CODE
H35.1 for Retinopathy of prematurity - NON-BILLABLE CODE
H35.10 for Retinopathy of prematurity, unspecified - NON-BILLABLE CODE
H35.11 for Retinopathy of prematurity, stage 0 - NON-BILLABLE CODE
H35.12 for Retinopathy of prematurity, stage 1 - NON-BILLABLE CODE
H35.13 for Retinopathy of prematurity, stage 2 - NON-BILLABLE CODE
H35.14 for Retinopathy of prematurity, stage 3 - NON-BILLABLE CODE
H35.15 for Retinopathy of prematurity, stage 4 - NON-BILLABLE CODE
H35.16 for Retinopathy of prematurity, stage 5 - NON-BILLABLE CODE
H35.17 for Retrolental fibroplasia - NON-BILLABLE CODE
H35.2 for Other non-diabetic proliferative retinopathy - NON-BILLABLE CODE
Use H35.20 for Other non-diabetic proliferative retinopathy, unspecified eye - BILLABLE CODE
Use H35.21 for Other non-diabetic proliferative retinopathy, right eye - BILLABLE CODE
Use H35.22 for Other non-diabetic proliferative retinopathy, left eye - BILLABLE CODE
Use H35.23 for Other non-diabetic proliferative retinopathy, bilateral - BILLABLE CODE
H35.3 for Degeneration of macula and posterior pole - NON-BILLABLE CODE
Use H35.30 for Unspecified macular degeneration - BILLABLE CODE
H35.31 for Nonexudative age-related macular degeneration - NON-BILLABLE CODE
H35.32 for Exudative age-related macular degeneration - NON-BILLABLE CODE
Use H35.33 for Angioid streaks of macula - BILLABLE CODE
H35.34 for Macular cyst, hole, or pseudohole - NON-BILLABLE CODE
H35.35 for Cystoid macular degeneration - NON-BILLABLE CODE
H35.36 for Drusen (degenerative) of macula - NON-BILLABLE CODE
H35.37 for Puckering of macula - NON-BILLABLE CODE
H35.38 for Toxic maculopathy - NON-BILLABLE CODE
H35.4 for Peripheral retinal degeneration - NON-BILLABLE CODE
Use H35.40 for Unspecified peripheral retinal degeneration - BILLABLE CODE
H35.41 for Lattice degeneration of retina - NON-BILLABLE CODE
H35.42 for Microcystoid degeneration of retina - NON-BILLABLE CODE
H35.43 for Paving stone degeneration of retina - NON-BILLABLE CODE
H35.44 for Age-related reticular degeneration of retina - NON-BILLABLE CODE
H35.45 for Secondary pigmentary degeneration - NON-BILLABLE CODE
H35.46 for Secondary vitreoretinal degeneration - NON-BILLABLE CODE
H35.5 for Hereditary retinal dystrophy - NON-BILLABLE CODE
Use H35.50 for Unspecified hereditary retinal dystrophy - BILLABLE CODE
Use H35.51 for Vitreoretinal dystrophy - BILLABLE CODE
Use H35.52 for Pigmentary retinal dystrophy - BILLABLE CODE
Use H35.53 for Other dystrophies primarily involving the sensory retina - BILLABLE CODE
Use H35.54 for Dystrophies primarily involving the retinal pigment epithelium - BILLABLE CODE
H35.6 for Retinal hemorrhage - NON-BILLABLE CODE
Use H35.60 for Retinal hemorrhage, unspecified eye - BILLABLE CODE
Use H35.61 for Retinal hemorrhage, right eye - BILLABLE CODE
Use H35.62 for Retinal hemorrhage, left eye - BILLABLE CODE
Use H35.63 for Retinal hemorrhage, bilateral - BILLABLE CODE
H35.7 for Separation of retinal layers - NON-BILLABLE CODE
Use H35.70 for Unspecified separation of retinal layers - BILLABLE CODE
H35.71 for Central serous chorioretinopathy - NON-BILLABLE CODE
H35.72 for Serous detachment of retinal pigment epithelium - NON-BILLABLE CODE
H35.73 for Hemorrhagic detachment of retinal pigment epithelium - NON-BILLABLE CODE
H35.8 for Other specified retinal disorders - NON-BILLABLE CODE
Use H35.81 for Retinal edema - BILLABLE CODE
Use H35.82 for Retinal ischemia - BILLABLE CODE
Use H35.89 for Other specified retinal disorders - BILLABLE CODE
Use H35.9 for Unspecified retinal disorder - BILLABLE CODE
Tabular List of Diseases and Injuries
The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.
Type 2 Excludes
Type 2 ExcludesA type 2 excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
Patient Education
Retinal Disorders
The retina is a layer of tissue in the back of your eye that senses light and sends images to your brain. In the center of this nerve tissue is the macula. It provides the sharp, central vision needed for reading, driving and seeing fine detail.
Retinal disorders affect this vital tissue. They can affect your vision, and some can be serious enough to cause blindness. Examples are:
- Macular degeneration - a disease that destroys your sharp, central vision
- Diabetic eye disease
- Retinal detachment - a medical emergency, when the retina is pulled away from the back of the eye
- Retinoblastoma - cancer of the retina. It is most common in young children.
- Macular pucker - scar tissue on the macula
- Macular hole - a small break in the macula that usually happens to people over 60
- Floaters - cobwebs or specks in your field of 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.