2022 ICD-10-CM Code H35.3

Degeneration of macula and posterior pole

Version 2021

Not Valid for Submission

ICD-10:H35.3
Short Description:Degeneration of macula and posterior pole
Long Description:Degeneration of macula and posterior pole

Code Classification

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

H35.3 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of degeneration of macula and posterior pole. The code is not specific and is NOT valid for the year 2022 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 for Degeneration of macula and posterior pole

Non-specific codes like H35.3 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for degeneration of macula and posterior pole:

  • BILLABLE CODE - Use H35.30 for Unspecified macular degeneration
  • NON-BILLABLE CODE - H35.31 for Nonexudative age-related macular degeneration
  • NON-BILLABLE CODE - H35.311 for Nonexudative age-related macular degeneration, right eye
  • BILLABLE CODE - Use H35.3110 for stage unspecified
  • BILLABLE CODE - Use H35.3111 for early dry stage
  • BILLABLE CODE - Use H35.3112 for intermediate dry stage
  • BILLABLE CODE - Use H35.3113 for advanced atrophic without subfoveal involvement
  • BILLABLE CODE - Use H35.3114 for advanced atrophic with subfoveal involvement
  • NON-BILLABLE CODE - H35.312 for Nonexudative age-related macular degeneration, left eye
  • BILLABLE CODE - Use H35.3120 for stage unspecified
  • BILLABLE CODE - Use H35.3121 for early dry stage
  • BILLABLE CODE - Use H35.3122 for intermediate dry stage
  • BILLABLE CODE - Use H35.3123 for advanced atrophic without subfoveal involvement
  • BILLABLE CODE - Use H35.3124 for advanced atrophic with subfoveal involvement
  • NON-BILLABLE CODE - H35.313 for Nonexudative age-related macular degeneration, bilateral
  • BILLABLE CODE - Use H35.3130 for stage unspecified
  • BILLABLE CODE - Use H35.3131 for early dry stage
  • BILLABLE CODE - Use H35.3132 for intermediate dry stage
  • BILLABLE CODE - Use H35.3133 for advanced atrophic without subfoveal involvement
  • BILLABLE CODE - Use H35.3134 for advanced atrophic with subfoveal involvement
  • NON-BILLABLE CODE - H35.319 for Nonexudative age-related macular degeneration, unspecified eye
  • BILLABLE CODE - Use H35.3190 for stage unspecified
  • BILLABLE CODE - Use H35.3191 for early dry stage
  • BILLABLE CODE - Use H35.3192 for intermediate dry stage
  • BILLABLE CODE - Use H35.3193 for advanced atrophic without subfoveal involvement
  • BILLABLE CODE - Use H35.3194 for advanced atrophic with subfoveal involvement
  • NON-BILLABLE CODE - H35.32 for Exudative age-related macular degeneration
  • NON-BILLABLE CODE - H35.321 for Exudative age-related macular degeneration, right eye
  • BILLABLE CODE - Use H35.3210 for stage unspecified
  • BILLABLE CODE - Use H35.3211 for with active choroidal neovascularization
  • BILLABLE CODE - Use H35.3212 for with inactive choroidal neovascularization
  • BILLABLE CODE - Use H35.3213 for with inactive scar
  • NON-BILLABLE CODE - H35.322 for Exudative age-related macular degeneration, left eye
  • BILLABLE CODE - Use H35.3220 for stage unspecified
  • BILLABLE CODE - Use H35.3221 for with active choroidal neovascularization
  • BILLABLE CODE - Use H35.3222 for with inactive choroidal neovascularization
  • BILLABLE CODE - Use H35.3223 for with inactive scar
  • NON-BILLABLE CODE - H35.323 for Exudative age-related macular degeneration, bilateral
  • BILLABLE CODE - Use H35.3230 for stage unspecified
  • BILLABLE CODE - Use H35.3231 for with active choroidal neovascularization
  • BILLABLE CODE - Use H35.3232 for with inactive choroidal neovascularization
  • BILLABLE CODE - Use H35.3233 for with inactive scar
  • NON-BILLABLE CODE - H35.329 for Exudative age-related macular degeneration, unspecified eye
  • BILLABLE CODE - Use H35.3290 for stage unspecified
  • BILLABLE CODE - Use H35.3291 for with active choroidal neovascularization
  • BILLABLE CODE - Use H35.3292 for with inactive choroidal neovascularization
  • BILLABLE CODE - Use H35.3293 for with inactive scar
  • BILLABLE CODE - Use H35.33 for Angioid streaks of macula
  • NON-BILLABLE CODE - H35.34 for Macular cyst, hole, or pseudohole
  • BILLABLE CODE - Use H35.341 for Macular cyst, hole, or pseudohole, right eye
  • BILLABLE CODE - Use H35.342 for Macular cyst, hole, or pseudohole, left eye
  • BILLABLE CODE - Use H35.343 for Macular cyst, hole, or pseudohole, bilateral
  • BILLABLE CODE - Use H35.349 for Macular cyst, hole, or pseudohole, unspecified eye
  • NON-BILLABLE CODE - H35.35 for Cystoid macular degeneration
  • BILLABLE CODE - Use H35.351 for Cystoid macular degeneration, right eye
  • BILLABLE CODE - Use H35.352 for Cystoid macular degeneration, left eye
  • BILLABLE CODE - Use H35.353 for Cystoid macular degeneration, bilateral
  • BILLABLE CODE - Use H35.359 for Cystoid macular degeneration, unspecified eye
  • NON-BILLABLE CODE - H35.36 for Drusen (degenerative) of macula
  • BILLABLE CODE - Use H35.361 for Drusen (degenerative) of macula, right eye
  • BILLABLE CODE - Use H35.362 for Drusen (degenerative) of macula, left eye
  • BILLABLE CODE - Use H35.363 for Drusen (degenerative) of macula, bilateral
  • BILLABLE CODE - Use H35.369 for Drusen (degenerative) of macula, unspecified eye
  • NON-BILLABLE CODE - H35.37 for Puckering of macula
  • BILLABLE CODE - Use H35.371 for Puckering of macula, right eye
  • BILLABLE CODE - Use H35.372 for Puckering of macula, left eye
  • BILLABLE CODE - Use H35.373 for Puckering of macula, bilateral
  • BILLABLE CODE - Use H35.379 for Puckering of macula, unspecified eye
  • NON-BILLABLE CODE - H35.38 for Toxic maculopathy
  • BILLABLE CODE - Use H35.381 for Toxic maculopathy, right eye
  • BILLABLE CODE - Use H35.382 for Toxic maculopathy, left eye
  • BILLABLE CODE - Use H35.383 for Toxic maculopathy, bilateral
  • BILLABLE CODE - Use H35.389 for Toxic maculopathy, unspecified eye

Information for Patients


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 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)