2021 ICD-10-CM Code H35.4

Peripheral retinal degeneration

Version 2021

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.

ICD-10:H35.4
Short Description:Peripheral retinal degeneration
Long Description:Peripheral retinal degeneration

Code Classification

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:

  • BILLABLE CODE - Use H35.40 for Unspecified peripheral retinal degeneration
  • NON-BILLABLE CODE - H35.41 for Lattice degeneration of retina
  • BILLABLE CODE - Use H35.411 for Lattice degeneration of retina, right eye
  • BILLABLE CODE - Use H35.412 for Lattice degeneration of retina, left eye
  • BILLABLE CODE - Use H35.413 for Lattice degeneration of retina, bilateral
  • BILLABLE CODE - Use H35.419 for Lattice degeneration of retina, unspecified eye
  • NON-BILLABLE CODE - H35.42 for Microcystoid degeneration of retina
  • BILLABLE CODE - Use H35.421 for Microcystoid degeneration of retina, right eye
  • BILLABLE CODE - Use H35.422 for Microcystoid degeneration of retina, left eye
  • BILLABLE CODE - Use H35.423 for Microcystoid degeneration of retina, bilateral
  • BILLABLE CODE - Use H35.429 for Microcystoid degeneration of retina, unspecified eye
  • NON-BILLABLE CODE - H35.43 for Paving stone degeneration of retina
  • BILLABLE CODE - Use H35.431 for Paving stone degeneration of retina, right eye
  • BILLABLE CODE - Use H35.432 for Paving stone degeneration of retina, left eye
  • BILLABLE CODE - Use H35.433 for Paving stone degeneration of retina, bilateral
  • BILLABLE CODE - Use H35.439 for Paving stone degeneration of retina, unspecified eye
  • NON-BILLABLE CODE - H35.44 for Age-related reticular degeneration of retina
  • BILLABLE CODE - Use H35.441 for Age-related reticular degeneration of retina, right eye
  • BILLABLE CODE - Use H35.442 for Age-related reticular degeneration of retina, left eye
  • BILLABLE CODE - Use H35.443 for Age-related reticular degeneration of retina, bilateral
  • BILLABLE CODE - Use H35.449 for Age-related reticular degeneration of retina, unspecified eye
  • NON-BILLABLE CODE - H35.45 for Secondary pigmentary degeneration
  • BILLABLE CODE - Use H35.451 for Secondary pigmentary degeneration, right eye
  • BILLABLE CODE - Use H35.452 for Secondary pigmentary degeneration, left eye
  • BILLABLE CODE - Use H35.453 for Secondary pigmentary degeneration, bilateral
  • BILLABLE CODE - Use H35.459 for Secondary pigmentary degeneration, unspecified eye
  • NON-BILLABLE CODE - H35.46 for Secondary vitreoretinal degeneration
  • BILLABLE CODE - Use H35.461 for Secondary vitreoretinal degeneration, right eye
  • BILLABLE CODE - Use H35.462 for Secondary vitreoretinal degeneration, left eye
  • BILLABLE CODE - Use H35.463 for Secondary vitreoretinal degeneration, bilateral
  • BILLABLE CODE - Use H35.469 for Secondary vitreoretinal degeneration, 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 coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code H35.4:


Type 1 Excludes

Type 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


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

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)