2027 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 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

H35.30 is a billable ICD-10-CM diagnosis code for unspecified macular degeneration. 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. 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 age-related macular degeneration
  • 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 exudative age-related macular degeneration
  • 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
  • Exudative age-related macular degeneration
  • Exudative age-related macular degeneration of left eye
  • Exudative age-related macular degeneration of right eye
  • Fundus coloboma
  • Intermediate age related macular degeneration
  • Left 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
  • Right age-related macular degeneration
  • Structural abnormality of fovea centralis

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to H35.30: its own notes plus those printed at H35 and Chapter 7. A note printed at a category, block or chapter applies to every code under it.

Applicable To

Conditions this code is used for: synonyms of the title or, for "other specified" codes, the conditions assigned to it. The list is not exhaustive.

  • Age-related macular degeneration

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.

From H35 Other retinal disorders applies to 175 codes
From Chapter 7 (H00-H59) Diseases of the eye and adnexa applies to 2,677 codes
  • 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)

Notes

General instructions on how these codes are used.

From Chapter 7 (H00-H59) Diseases of the eye and adnexa applies to 2,677 codes
  • 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.

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

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

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 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About H35.30Overview

What is the ICD-10 code for unspecified macular degeneration?

The ICD-10-CM code for unspecified macular degeneration is H35.30 (sometimes written as H3530). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

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, 2026 through September 30, 2027.

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 125, 124, with relative weights from 0.7699 to 1.2470 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.