2027 ICD-10-CM Diagnosis Code H35.363Drusen (degenerative) of macula, bilateral
ICD-10-CM Codes›H00–H59›H30-H36›H35
- Billable — Valid for Submission
- Chronic Condition
H35.363 is a billable ICD-10-CM diagnosis code for drusen (degenerative) of macula, bilateral. 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. Coders also document this condition as bilateral drusen of maculae. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Retinal and vitreous conditions.
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Bilateral drusen of maculae
- Drusen of left macula
- Drusen of retina of bilateral eyes
- Drusen of retina of left eye
- Drusen of retina of right eye
- Drusen of right macula
- Macular drusen
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to H35.363: 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.
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
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 H35.363 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About H35.363Overview
What is the ICD-10 code for drusen (degenerative) of macula, bilateral?
The ICD-10-CM code for drusen (degenerative) of macula, bilateral is H35.363 (sometimes written as H35363). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is H35.363 (Drusen (degenerative) of macula) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report drusen (degenerative) of macula, bilateral on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does H35.363 group to?
When drusen (degenerative) of macula, bilateral 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.
What is the ICD-9 equivalent of H35.363?
Under the General Equivalence Mappings, drusen (degenerative) of macula, bilateral converts to ICD-9-CM 362.57 (drusen (degenerative)). The mapping is approximate, so confirm the match fits the documentation.
