2026 ICD-10-CM Diagnosis Code H35.383Toxic maculopathy, bilateral

ICD-10-CM Codes›H00–H59›H30-H36›H35

ICD-10-CM H35.383
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

H35.383 is a billable ICD-10-CM diagnosis code for toxic maculopathy, bilateral. 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 bilateral toxic maculopathy. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Drug induced or toxic related condition and Retinal and vitreous conditions.

Code Identity

ICD-10-CM Code
H35.383
Billable Status
Yes — Valid for Submission
Code Describes
Toxic maculopathy, bilateral
Short Description
Toxic maculopathy, bilateral
Same as the full description in the CMS dataset.
Parent Code
H35.38
Toxic maculopathy

Code Classification

ChapterH00–H59Diseases of the eye and adnexa
SectionH30-H36Disorders of choroid and retina
CategoryH35Other retinal disorders
This CodeH35.383Toxic maculopathy, bilateral

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Bilateral toxic maculopathy
  • Left toxic maculopathy
  • Right toxic maculopathy
  • Toxic maculopathy

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR INJ030
Drug induced or toxic related condition
Default principal diagnosis: inpatient No · outpatient No
CCSR EYE005
Retinal and vitreous conditions
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Retinal Disorders

The retina is a layer of tissue in the back of your eye that senses light and sends images to your brain. In the center of this nerve tissue is the macula. It provides the sharp, central vision needed for reading, driving and seeing fine detail.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert H35.383 to ICD-9-CMHistory

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

ICD-9-CM
362.55 Toxic maculopathy
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 H35.383Overview

Is H35.383 (Toxic maculopathy) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report toxic maculopathy, bilateral on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does H35.383 group to?

When toxic maculopathy, bilateral 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 H35.383?

Under the General Equivalence Mappings, toxic maculopathy, bilateral converts to ICD-9-CM 362.55 (toxic maculopathy). 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.