2026 ICD-10-CM Diagnosis Code H35.361Drusen (degenerative) of macula, right eye

ICD-10-CM Codes›H00–H59›H30-H36›H35

ICD-10-CM H35.361
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

H35.361 is a billable ICD-10-CM diagnosis code for drusen (degenerative) of macula, right eye. 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. Coders also document this condition as drusen of retina of right eye. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Retinal and vitreous conditions.

Code Identity

ICD-10-CM Code
H35.361
Billable Status
Yes — Valid for Submission
Code Describes
Drusen (degenerative) of macula, right eye
Short Description
Drusen (degenerative) of macula, right eye
Same as the full description in the CMS dataset.
Parent Code
H35.36
Drusen (degenerative) of macula

Code Classification

ChapterH00–H59Diseases of the eye and adnexa
SectionH30-H36Disorders of choroid and retina
CategoryH35Other retinal disorders
This CodeH35.361Drusen (degenerative) of macula, right eye

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Drusen of retina of right eye
  • Drusen of right macula
  • Macular drusen

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 H35.361 to ICD-9-CMHistory

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

ICD-9-CM
362.57 Drusen (degenerative)
Approximate The match is approximate rather than exact.

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 H35.361Overview

Is H35.361 (Drusen (degenerative) of macula) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report drusen (degenerative) of macula, right eye on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does H35.361 group to?

When drusen (degenerative) of macula, right eye 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.

What is the ICD-9 equivalent of H35.361?

Under the General Equivalence Mappings, drusen (degenerative) of macula, right eye converts to ICD-9-CM 362.57 (drusen (degenerative)). 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.