ICD-10-CM Code H35.30

Unspecified macular degeneration

Version 2020 Replaced Code Billable Code Adult Diagnoses

Valid for Submission

H35.30 is a billable code used to specify a medical diagnosis of unspecified macular degeneration. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code H35.30 might also be used to specify conditions or terms like age related macular degeneration, atrophic macular change, bilateral degeneration of macula, bilateral degenerative progressive high myopia of eyes, bilateral myopia of eyes, bull's eye maculopathy, etc

The code H35.30 is applicable to adult patients aged 15 through 124 years inclusive. It is clinically and virtually impossible to use this code on a patient outside the stated age range.

ICD-10:H35.30
Short Description:Unspecified macular degeneration
Long Description:Unspecified macular degeneration

Replaced Code

This code was replaced in the 2020 ICD-10 code set with the code(s) listed below. The National Center for Health Statistics (NCHS) has published an update to the ICD-10-CM diagnosis codes which became effective October 1, 2019. This code was replaced for the FY 2020 (October 1, 2019 - September 30, 2020).

  • H44.2B1 - Degenerative myopia with macular hole, right eye
  • H44.2B2 - Degenerative myopia with macular hole, left eye
  • H44.2B3 - Degenerative myopia with macular hole, bilateral eye
  • H44.2B9 - Degenerative myopia with macular hole, unspecified eye

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code H35.30:

Inclusion Terms

Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • Age-related macular degeneration

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code H35.30 are found in the index:


Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:

  • Adult diagnoses - Adult. Age range is 15–124 years inclusive (e.g., senile delirium, mature cataract).

Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Age related macular degeneration
  • Atrophic macular change
  • Bilateral degeneration of macula
  • Bilateral degenerative progressive high myopia of eyes
  • Bilateral myopia of eyes
  • Bull's eye maculopathy
  • Degeneration of macula and posterior pole
  • Degeneration of posterior pole of eye
  • Degenerative disorder of macula
  • Degenerative disorder of macula of left eye
  • Degenerative disorder of macula of left eye
  • Degenerative disorder of macula of right eye
  • Degenerative disorder of macula of right eye
  • Degenerative progressive high myopia
  • Degenerative progressive high myopia
  • Degenerative progressive high myopia
  • Degenerative progressive high myopia
  • Degenerative progressive high myopia of left eye
  • Degenerative progressive high myopia of left eye
  • Degenerative progressive high myopia of right eye
  • Degenerative progressive high myopia of right eye
  • Macular diffuse atrophy
  • Myopia of left eye
  • Myopia of left eye
  • Myopia of right eye
  • Myopia of right eye
  • Myopic macular degeneration
  • Myopic macular degeneration
  • Myopic macular degeneration
  • Myopic macular degeneration
  • Myopic macular degeneration of bilateral eyes
  • Myopic macular degeneration of left eye
  • Myopic macular degeneration of left eye
  • Myopic macular degeneration of right eye
  • Myopic macular degeneration of right eye
  • Persistent placoid maculopathy

Clinical Information

  • MACULAR DEGENERATION-. degenerative changes in the retina usually of older adults which results in a loss of vision in the center of the visual field the macula lutea because of damage to the retina. it occurs in dry and wet forms.
  • GEOGRAPHIC ATROPHY-. a form of macular degeneration also known as dry macular degeneration marked by occurrence of a well defined progressive lesion or atrophy in the central part of the retina called the macula lutea. it is distinguishable from wet macular degeneration in that the latter involves neovascular exudates.
  • WET MACULAR DEGENERATION-. a form of retinal degeneration in which abnormal choroidal neovascularization occurs under the retina and macula lutea causing bleeding and leaking of fluid. this leads to bulging and or lifting of the macula and the distortion or destruction of central vision.
  • VITELLIFORM MACULAR DYSTROPHY-. autosomal dominant hereditary maculopathy with childhood onset accumulation of lipofusion in retinal pigment epithelium. affected individuals develop progressive central acuity loss and distorted vision metamorphopsia. it is associated with mutations in bestrophin a chloride channel.

Diagnostic Related Groups

The ICD-10 code H35.30 is grouped in the following groups for version MS-DRG V37.0 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 10/01/2020 through 09/30/2020.

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

Convert H35.30 to ICD-9

  • 362.50 - Macular degeneration NOS

Code Classification

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

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

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]

Age-related macular degeneration Age-related macular degeneration is an eye disease that is a leading cause of vision loss in older people in developed countries. The vision loss usually becomes noticeable in a person's sixties or seventies and tends to worsen over time.Age-related macular degeneration mainly affects central vision, which is needed for detailed tasks such as reading, driving, and recognizing faces. The vision loss in this condition results from a gradual deterioration of light-sensing cells in the tissue at the back of the eye that detects light and color (the retina). Specifically, age-related macular degeneration affects a small area near the center of the retina, called the macula, which is responsible for central vision. Side (peripheral) vision and night vision are generally not affected, but reduced dim light (scotopic) vision often occurs in the early stages of the disease.Researchers have described two major types of age-related macular degeneration, known as the dry form and the wet form. The dry form is much more common, accounting for 85 to 90 percent of all cases of age-related macular degeneration. It is characterized by a buildup of yellowish deposits called drusen beneath the retina and vision loss that worsens slowly over time. The condition typically affects vision in both eyes, although vision loss often occurs in one eye before the other.The wet form of age-related macular degeneration is associated with severe vision loss that can worsen rapidly. This form of the condition is characterized by the growth of abnormal, fragile blood vessels underneath the macula. These vessels leak blood and fluid, which damages the macula and makes central vision appear blurry and distorted.
[Learn More]