2026 ICD-10-CM Diagnosis Code H35.30Unspecified macular degeneration

ICD-10-CM Codes›H00–H59›H30-H36›H35

ICD-10-CM H35.30
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

H35.30 is a billable ICD-10-CM diagnosis code for unspecified macular degeneration. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 124 through 125. The code is restricted by the Medicare Code Editor to adult patients (age 15 through 124). In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Retinal and vitreous conditions.

Code Identity

ICD-10-CM Code
H35.30
Billable Status
Yes — Valid for Submission
Code Describes
Unspecified macular degeneration
Short Description
Unspecified macular degeneration
Same as the full description in the CMS dataset.
Parent Code
H35.3
Degeneration of macula and posterior pole

Code Classification

ChapterH00–H59Diseases of the eye and adnexa
SectionH30-H36Disorders of choroid and retina
CategoryH35Other retinal disorders
This CodeH35.30Unspecified macular degeneration

Code EditsBilling

Medicare Code Editor checks that affect claim validity for H35.30.

Adult diagnoses
The Medicare Code Editor detects inconsistencies in adult cases by checking a patient's age and any diagnosis on the patient's record. The adult code edits apply to patients age range is 15–124 years inclusive (e.g., senile delirium, mature cataract).

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Advanced age related macular degeneration
  • Age related macular degeneration
  • Atrophy of fovea centralis
  • Atrophy of macula lutea
  • Bilateral congenital anomaly of optic disc
  • Bilateral congenital anomaly of retinas
  • Bilateral congenital coloboma of optic discs
  • Bilateral degeneration of macula
  • Bilateral degenerative progressive high myopia of eyes
  • Bilateral myopia of eyes
  • Bull's eye maculopathy
  • Colobomatous optic disc, macular atrophy, chorioretinopathy syndrome
  • Congenital anomaly of left optic disc
  • Congenital anomaly of right optic disc
  • Congenital coloboma of left optic disc
  • Congenital coloboma of optic disc
  • Congenital coloboma of right optic disc
  • Degeneration of posterior pole of eye
  • Degenerative disorder of macula
  • Degenerative disorder of macula of left eye
  • Degenerative disorder of macula of right eye
  • Degenerative myopia of left eye
  • Degenerative myopia of right eye
  • Degenerative progressive high myopia
  • Degenerative progressive high myopia of left eye
  • Degenerative progressive high myopia of right eye
  • Early age related macular degeneration
  • Fundus coloboma
  • Intermediate age related macular degeneration
  • Macular diffuse atrophy
  • Myopia of left eye
  • Myopia of right eye
  • Myopic macular degeneration
  • Myopic macular degeneration of bilateral eyes
  • Myopic macular degeneration of left eye
  • Myopic macular degeneration of right eye
  • Nongeographic atrophy of macula
  • Persistent placoid maculopathy
  • Retinal pigment deposits

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Inclusion Terms

  • Age-related macular degeneration

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Degeneration, degenerative
      • macula, macular (acquired) (age-related) (senile)

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR EYE005
Retinal and vitreous conditions
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • 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.

  • 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.

  • Stargardt Disease

    a juvenile-onset macular dystrophy characterized by progressive loss of visual acuity with normal acuity in peripheral visual fields. other associated clinical features may include lipofuscin fundus autofluorescence, atrophy of the retinal pigment epithelium, loss of color vision, photophobia and paracentral scotoma. germline mutations in the abca4 gene have been identified in recessive and dominant diseases.

  • 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.

  • 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.

  • Radiation Retinopathy

    injury of the retina following exposure to radiation. the retinal injury results from occlusive microangiopathy caused by endothelial cell loss.

Patient EducationClinical

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.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert H35.30 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
362.50 Macular degeneration NOS
Exact Match The mapping is direct, with no qualifiers.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About H35.30Overview

Is H35.30 (Degeneration of macula and posterior pole) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report unspecified macular degeneration on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does H35.30 group to?

When unspecified macular degeneration is the principal diagnosis on an inpatient stay, it groups to MS-DRG 124, 125, with relative weights from 0.7678 to 1.3231 depending on complications. Higher weights mean higher Medicare reimbursement.

Who can H35.30 be reported for?

The Medicare Code Editor checks unspecified macular degeneration against patient demographics: this code is intended for adult patients (age 15 through 124). Claims outside these limits are flagged as inconsistent.

What is the ICD-9 equivalent of H35.30?

Under the General Equivalence Mappings, unspecified macular degeneration converts to ICD-9-CM 362.50 (macular degeneration NOS). The mapping is a direct match.

Footnotes

[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:

  • The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
  • The condition places limitations on self-care, independent living, and social interactions.