2022 ICD-10-CM Code H35.059
Retinal neovascularization, unspecified, unspecified eye
Valid for Submission
| ICD-10: | H35.059 |
| Short Description: | Retinal neovascularization, unspecified, unspecified eye |
| Long Description: | Retinal neovascularization, unspecified, unspecified eye |
Code Classification
H35.059 is a billable diagnosis code used to specify a medical diagnosis of retinal neovascularization, unspecified, unspecified eye. The code H35.059 is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.
The ICD-10-CM code H35.059 might also be used to specify conditions or terms like choroidal retinal neovascularization, classic choroidal neovascular membrane, extramacular choroidal neovascular membrane, idiopathic choroidal neovascular membrane, occult choroidal neovascular membrane , occult neovascularization of macula, etc.
Unspecified diagnosis codes like H35.059 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Choroidal retinal neovascularization
- Classic choroidal neovascular membrane
- Extramacular choroidal neovascular membrane
- Idiopathic choroidal neovascular membrane
- Occult choroidal neovascular membrane
- Occult neovascularization of macula
- Peripapillary choroidal neovascular membrane
- Peripheral retinal neovascularization
- Retinal angiomatous proliferation
- Retinal neovascularization
- Retinal pigment epithelial detachment with vascularization
Diagnostic Related Groups - MS-DRG Mapping
The ICD-10 code H35.059 is grouped in the following groups for version MS-DRG V39.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). applicable from 10/01/2021 through 09/30/2022.
| MS-DRG | MS-DRG Title | MCD | Relative Weight |
|---|---|---|---|
| 124 | OTHER DISORDERS OF THE EYE WITH MCC | 02 | 1.3988 |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | 02 | 0.8354 |
The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.
Convert H35.059 to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code H35.059 its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
- 362.16 - Retinal neovascular NOS (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
[Learn More in MedlinePlus]
Code History
- 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 (First year ICD-10-CM implemented into the HIPAA code set)