2027 ICD-10-CM Diagnosis Code H35.013Changes in retinal vascular appearance, bilateral
ICD-10-CM Codes›H00–H59›H30-H36›H35
- Billable — Valid for Submission
- Chronic Condition
H35.013 is a billable ICD-10-CM diagnosis code for changes in retinal vascular appearance, bilateral. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 124 through 125. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Retinal and vitreous conditions.
Code Identity
Code Classification
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to H35.013: its own notes plus those printed at H35.0, H35, and Chapter 7. A note printed at a category, block or chapter applies to every code under it.
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
- diabetes mellitus related eye conditions (E09.3-, E10.3-, E11.3-, E13.3-)
- endocrine, nutritional and metabolic diseases (E00-E88)
- injury (trauma) of eye and orbit (S05.-)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
- syphilis related eye disorders (A50.01, A50.3-, A51.43, A52.71)
Code Also
A second code may be needed to fully describe the condition; the note gives no sequencing direction.
Notes
General instructions on how these codes are used.
- Use an external cause code following the code for the eye condition, if applicable, to identify the cause of the eye condition
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name H35.013, its category, or a range that includes it.
Excludes1 1
These codes carry an Excludes1 note naming H35.013: they are not reported together with it, unless the two conditions are unrelated.
Excludes2 4
These codes carry an Excludes2 note naming H35.013: its condition is not part of those codes, and both may be reported when the patient has both.
- I10 Essential (primary) hypertensionessential (primary) hypertension involving vessels of eye (H35.0-) names H35.0-, which includes this code
- I15 Secondary hypertensionsecondary hypertension involving vessels of eye (H35.0-) names H35.0-, which includes this code
- I72 Other aneurysmretinal aneurysm (H35.0) names H35.0, which includes this code
- I86 Varicose veins of other sitesretinal varices (H35.0-) names H35.0-, which includes this code
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Retinal Disorders
Retinal disorders are conditions that affect the retina, the thin light-sensitive tissue at the back of your eye. The retina senses light and sends signals to your brain so you can see.
The full article covers:
- What are retinal disorders?
- What causes retinal disorders?
- What are common retinal disorders?
- What are the symptoms of retinal disorders?
- How are retinal disorders diagnosed?
- How are retinal disorders treated?
- Can retinal disorders be prevented?
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert H35.013 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About H35.013Overview
What is the ICD-10 code for changes in retinal vascular appearance, bilateral?
The ICD-10-CM code for changes in retinal vascular appearance, bilateral is H35.013 (sometimes written as H35013). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is H35.013 (Changes in retinal vascular appearance) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report changes in retinal vascular appearance, bilateral on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does H35.013 group to?
When changes in retinal vascular appearance, bilateral is the principal diagnosis on an inpatient stay, it groups to MS-DRG 125, 124, with relative weights from 0.7699 to 1.2470 depending on complications. Higher weights mean higher Medicare reimbursement.
What is the ICD-9 equivalent of H35.013?
Under the General Equivalence Mappings, changes in retinal vascular appearance, bilateral converts to ICD-9-CM 362.13 (retinal vascular changes). The mapping is approximate, so confirm the match fits the documentation.
