ICD-10 Diagnosis Code H35.021

Exudative retinopathy, right eye

Diagnosis Code H35.021

ICD-10: H35.021
Short Description: Exudative retinopathy, right eye
Long Description: Exudative retinopathy, right eye
This is the 2018 version of the ICD-10-CM diagnosis code H35.021

Valid for Submission
The code H35.021 is valid for submission for HIPAA-covered transactions.

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

Information for Medical Professionals

Diagnostic Related Groups
The diagnosis code H35.021 is grouped in the following Diagnostic Related Group(s) (MS-DRG V35.0)

  • 124 - OTHER DISORDERS OF THE EYE WITH MCC
  • 125 - OTHER DISORDERS OF THE EYE WITHOUT MCC

Convert to ICD-9
  • 362.12 - Exudative retinopathy (Approximate Flag)

Information for Patients


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

  • Amaurosis fugax (Medical Encyclopedia)
  • Central serous choroidopathy (Medical Encyclopedia)
  • Electroretinography (Medical Encyclopedia)
  • Fluorescein angiography (Medical Encyclopedia)
  • High blood pressure and eye disease (Medical Encyclopedia)
  • Home vision tests (Medical Encyclopedia)
  • Intravitreal injection (Medical Encyclopedia)
  • Retinal artery occlusion (Medical Encyclopedia)
  • Retinal vein occlusion (Medical Encyclopedia)

[Read More]

ICD-10 Footnotes

General Equivalence Map Definitions
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

  • Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
  • No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
  • Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.

Present on Admission
The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement.

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