ICD-10-CM Code H35.38

Toxic maculopathy

Version 2021 Non-Billable Code

Not Valid for Submission

H35.38 is a "header" nonspecific and non-billable code code, consider using a code with a higher level of specificity for a diagnosis of toxic maculopathy. The code is NOT valid for the year 2021 for the submission of HIPAA-covered transactions.

ICD-10:H35.38
Short Description:Toxic maculopathy
Long Description:Toxic maculopathy

Consider the following ICD-10 codes with a higher level of specificity:

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 H35.38:

Code First

Code First
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists, there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation.
  • poisoning due to drug or toxin, if applicable T36 T65

Use Additional Code

Use Additional Code
The “use additional code” indicates that a secondary code could be used to further specify the patient’s condition. This note is not mandatory and is only used if enough information is available to assign an additional code.
  • code for adverse effect, if applicable, to identify drug T36 T50

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 H35.38 are found in the index:


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
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021

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)

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