2026 ICD-10-CM Diagnosis Code H35.3211Exudative age-related macular degeneration, right eye, with active choroidal neovascularization

ICD-10-CM Codes›H00–H59›H30-H36›H35

ICD-10-CM H35.3211
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

H35.3211 is a billable ICD-10-CM diagnosis code for exudative age-related macular degeneration, right eye, with active choroidal neovascularization. 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
H35.3211
Billable Status
Yes — Valid for Submission
Code Describes
Exudative age-related macular degeneration, right eye, with active choroidal neovascularization
Short Description
Exdtve age-rel mclr degn, right eye, with actv chrdl neovas
Parent Code
H35.321
Exudative age-related macular degeneration, right eye

Code Classification

ChapterH00–H59Diseases of the eye and adnexa
SectionH30-H36Disorders of choroid and retina
CategoryH35Other retinal disorders
This CodeH35.3211Exudative age-related macular degeneration, right eye, with active choroidal neovascularization

Code EditsBilling

Medicare Code Editor checks that affect claim validity for H35.3211.

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).

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 H35.3211 to ICD-9-CMHistory

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

ICD-9-CM
362.52 Exudative macular degen
Approximate The match is approximate rather than exact.

Code History & ChangesHistory

Replacement H35.3211 replaces the following previously assigned code(s):

  • H35.32 - Exudative age-related macular degeneration
FY 2018AddedAdded to the ICD-10-CM code setEffective October 1, 2017.
FY 2019–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About H35.3211Overview

Is H35.3211 (Exudative age-related macular degeneration, right eye) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report exudative age-related macular degeneration, right eye, with active choroidal neovascularization on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does H35.3211 group to?

When exudative age-related macular degeneration, right eye, with active choroidal neovascularization 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 H35.3211 be reported for?

The Medicare Code Editor checks exudative age-related macular degeneration, right eye, with active choroidal neovascularization 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 H35.3211?

Under the General Equivalence Mappings, exudative age-related macular degeneration, right eye, with active choroidal neovascularization converts to ICD-9-CM 362.52 (exudative macular degen). The mapping is approximate, so confirm the match fits the documentation.

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.