2026 ICD-10-CM Diagnosis Code H35.369Drusen (degenerative) of macula, unspecified eye
ICD-10-CM Codes›H00–H59›H30-H36›H35
- Billable — Valid for Submission
- Chronic Condition
H35.369 is a billable ICD-10-CM diagnosis code for drusen (degenerative) of macula, unspecified 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 basal laminar drusen. 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.
- Basal laminar drusen
- Confluent drusen
- Dominant drusen
- Drusen plus pigment change stage macular degeneration
- Drusen stage macular degeneration
- Hard drusen
- Macular drusen
- Retinal drusen
- Small drusen of the macula
- Soft drusen
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Clinical InformationClinical
Retinal Drusen
colloid or hyaline bodies lying beneath the retinal pigment epithelium. they may occur either secondary to changes in the choroid that affect the pigment epithelium or as an autosomal dominant disorder of the retinal pigment epithelium.
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 H35.369 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About H35.369Overview
Is H35.369 (Drusen (degenerative) of macula) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report drusen (degenerative) of macula, unspecified eye on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What MS-DRG does H35.369 group to?
When drusen (degenerative) of macula, unspecified 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 H35.369?
Under the General Equivalence Mappings, drusen (degenerative) of macula, unspecified 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.
