2027 ICD-10-CM Diagnosis Code H35Other retinal disorders
H35 is a non-billable ICD-10-CM category code for other retinal disorders, so it cannot be submitted on claims. Use a more specific code from this category instead, such as H35.00, H35.011, H35.012, and H35.013.
Code Identity
Code Classification
Specific Coding for Other retinal disordersOverview
Non-specific codes like H35 require more characters. Use one of these billable codes instead:
H35.0 for Background retinopathy and retinal vascular changes
Use H35.00 for Unspecified background retinopathy
H35.01 for Changes in retinal vascular appearance
H35.02 for Exudative retinopathy
H35.03 for Hypertensive retinopathy
H35.04 for Retinal micro-aneurysms, unspecified
H35.05 for Retinal neovascularization, unspecified
H35.06 for Retinal vasculitis
H35.07 for Retinal telangiectasis
Use H35.09 for Other intraretinal microvascular abnormalities
H35.1 for Retinopathy of prematurity
H35.10 for Retinopathy of prematurity, unspecified
H35.11 for Retinopathy of prematurity, stage 0
H35.12 for Retinopathy of prematurity, stage 1
H35.13 for Retinopathy of prematurity, stage 2
H35.14 for Retinopathy of prematurity, stage 3
H35.15 for Retinopathy of prematurity, stage 4
H35.16 for Retinopathy of prematurity, stage 5
H35.17 for Retrolental fibroplasia
H35.2 for Other non-diabetic proliferative retinopathy
Use H35.20 for Other non-diabetic proliferative retinopathy, unspecified eye
Use H35.21 for Other non-diabetic proliferative retinopathy, right eye
Use H35.22 for Other non-diabetic proliferative retinopathy, left eye
Use H35.23 for Other non-diabetic proliferative retinopathy, bilateral
H35.3 for Degeneration of macula and posterior pole
Use H35.30 for Unspecified macular degeneration
H35.31 for Nonexudative age-related macular degeneration
H35.32 for Exudative age-related macular degeneration
Use H35.33 for Angioid streaks of macula
H35.34 for Macular cyst, hole, or pseudohole
H35.35 for Cystoid macular degeneration
H35.36 for Drusen (degenerative) of macula
H35.37 for Puckering of macula
H35.38 for Toxic maculopathy
H35.4 for Peripheral retinal degeneration
Use H35.40 for Unspecified peripheral retinal degeneration
H35.41 for Lattice degeneration of retina
H35.42 for Microcystoid degeneration of retina
H35.43 for Paving stone degeneration of retina
H35.44 for Age-related reticular degeneration of retina
H35.45 for Secondary pigmentary degeneration
H35.46 for Secondary vitreoretinal degeneration
H35.5 for Hereditary retinal dystrophy
Use H35.50 for Unspecified hereditary retinal dystrophy
Use H35.51 for Vitreoretinal dystrophy
Use H35.52 for Pigmentary retinal dystrophy
Use H35.53 for Other dystrophies primarily involving the sensory retina
Use H35.54 for Dystrophies primarily involving the retinal pigment epithelium
H35.6 for Retinal hemorrhage
Use H35.60 for Retinal hemorrhage, unspecified eye
Use H35.61 for Retinal hemorrhage, right eye
Use H35.62 for Retinal hemorrhage, left eye
Use H35.63 for Retinal hemorrhage, bilateral
H35.7 for Separation of retinal layers
Use H35.70 for Unspecified separation of retinal layers
H35.71 for Central serous chorioretinopathy
H35.72 for Serous detachment of retinal pigment epithelium
H35.73 for Hemorrhagic detachment of retinal pigment epithelium
H35.8 for Other specified retinal disorders
Use H35.81 for Retinal edema
Use H35.82 for Retinal ischemia
Use H35.89 for Other specified retinal disorders
Use H35.9 for Unspecified retinal disorder
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to H35: its own notes plus those printed at Chapter 7. A note printed at a category, block or chapter applies to every code under it.
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
- diabetes mellitus related eye conditions (E09.3-, E10.3-, E11.3-, E13.3-)
- endocrine, nutritional and metabolic diseases (E00-E88)
- injury (trauma) of eye and orbit (S05.-)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
- syphilis related eye disorders (A50.01, A50.3-, A51.43, A52.71)
Notes
General instructions on how these codes are used.
- Use an external cause code following the code for the eye condition, if applicable, to identify the cause of the eye condition
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Patient EducationClinical
Retinal Disorders
Retinal disorders are conditions that affect the retina, the thin light-sensitive tissue at the back of your eye. The retina senses light and sends signals to your brain so you can see.
The full article covers:
- What are retinal disorders?
- What causes retinal disorders?
- What are common retinal disorders?
- What are the symptoms of retinal disorders?
- How are retinal disorders diagnosed?
- How are retinal disorders treated?
- Can retinal disorders be prevented?
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Code HistoryHistory
Questions About H35Overview
What is the ICD-10 code for other retinal disorders?
H35 is the ICD-10-CM category for other retinal disorders, but it is a non-billable header: claims need a more specific code from this category, listed on this page.