2027 ICD-10-CM Diagnosis Code H35.3122Nonexudative age-related macular degeneration, left eye, intermediate dry stage
ICD-10-CM Codes›H00–H59›H30-H36›H35
- Billable — Valid for Submission
- 7th Character 2 — Intermediate Dry Stage
- Chronic Condition
H35.3122 is a billable ICD-10-CM diagnosis code for nonexudative age-related macular degeneration, left eye, intermediate dry stage. The 7th character 2 means intermediate dry stage. 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
Code Classification
Code EditsBilling
Medicare Code Editor checks that affect claim validity for H35.3122.
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to H35.3122: its own notes plus those printed at H35.31, 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)
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
7th Character
Every code in the category takes a 7th character from the listed values, with the placeholder X filling any empty positions before it.
- One of the following 7th characters is to be assigned to codes in subcategory H35.31 to designate the stage of the disease:
- 0stage unspecified
- 1early dry stage
- 2intermediate dry stage this code
- 3advanced atrophic without subfoveal involvement
- 4advanced atrophic with subfoveal involvement
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
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 H35.3122 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code History & ChangesHistory
Replacement H35.3122 replaces the following previously assigned code(s):
- H35.31 - Nonexudative age-related macular degeneration
Questions About H35.3122Overview
Is H35.3122 (Nonexudative age-related macular degeneration, left eye) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report nonexudative age-related macular degeneration, left eye, intermediate dry stage on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What does the 7th character 2 in H35.3122 mean?
The final character 2 means intermediate dry stage, in this case for the nonexudative age-related macular degeneration. It comes from the 7th character list in the CMS Tabular List for this category.
What MS-DRG does H35.3122 group to?
When nonexudative age-related macular degeneration, left eye, intermediate dry stage 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 H35.3122 be reported for?
The Medicare Code Editor checks nonexudative age-related macular degeneration, left eye, intermediate dry stage 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 H35.3122?
Under the General Equivalence Mappings, nonexudative age-related macular degeneration, left eye, intermediate dry stage converts to ICD-9-CM 362.51 (nonexudat macular degen). The mapping is approximate, so confirm the match fits the documentation.