Not Valid for Submission
H35.4 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of peripheral retinal degeneration. The code is not specific and is NOT valid for the year 2021 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 Peripheral retinal degeneration
Non-specific codes like H35.4 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 peripheral retinal degeneration:
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 coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code H35.4:
Type 1 ExcludesType 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
Information for Patients
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)
[Learn More in MedlinePlus]