2026 ICD-10-CM Diagnosis Code H35.3220Exudative age-related macular degeneration, left eye, stage unspecified

ICD-10-CM CodesH00–H59H30-H36H35

ICD-10-CM H35.3220
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

H35.3220 is a billable ICD-10-CM diagnosis code for exudative age-related macular degeneration, left eye, stage unspecified. 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). Coders also document this condition as age-related exudative macular degeneration of left eye. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Retinal and vitreous conditions.

Code Identity

ICD-10-CM Code
H35.3220
Billable Status
Yes — Valid for Submission
Code Describes
Exudative age-related macular degeneration, left eye, stage unspecified
Short Description
Exudative age-related mclr degn, left eye, stage unspecified
Parent Code
Exudative age-related macular degeneration, left eye

Code Classification

ChapterH00–H59Diseases of the eye and adnexa
SectionH30-H36Disorders of choroid and retina
CategoryH35Other retinal disorders
This CodeH35.3220Exudative age-related macular degeneration, left eye, stage unspecified

Code EditsBilling

Medicare Code Editor checks that affect claim validity for H35.3220.

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.

  • Age-related exudative macular degeneration of left eye
  • Age-related nonexudative macular degeneration of left eye
  • Exudative age-related macular degeneration
  • Nonexudative age-related macular degeneration

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 H35.3220 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 H35.3220 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 H35.3220Overview

Is H35.3220 (Exudative age-related macular degeneration, left eye) a billable code?

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

What MS-DRG does H35.3220 group to?

When exudative age-related macular degeneration, left eye, stage unspecified 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 H35.3220 be reported for?

The Medicare Code Editor checks exudative age-related macular degeneration, left eye, stage unspecified 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 H35.3220?

Under the General Equivalence Mappings, exudative age-related macular degeneration, left eye, stage unspecified 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.