2027 ICD-10-CM Diagnosis Code H35.429Microcystoid degeneration of retina, unspecified eye
ICD-10-CM Codes›H00–H59›H30-H36›H35
- Billable — Valid for Submission
- Chronic Condition
H35.429 is a billable ICD-10-CM diagnosis code for microcystoid degeneration of retina, unspecified eye. 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 peripheral cystoid retinal degeneration. 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.
- Peripheral cystoid retinal degeneration
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to H35.429: its own notes plus those printed at H35.4, H35, and Chapter 7. A note printed at a category, block or chapter applies to every code under it.
Excludes1
Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.
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.
- peripheral retinal degeneration with retinal break (H33.3-)
- 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.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name H35.429, its category, or a range that includes it.
Excludes1 1
These codes carry an Excludes1 note naming H35.429: they are not reported together with it, unless the two conditions are unrelated.
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Clinical InformationClinical
Peripheral Retinal Degeneration
degeneration of the peripheral retina.
Patient EducationClinical
Retinal Disorders
Retinal disorders are conditions that affect the retina, the thin light-sensitive tissue at the back of your eye. The retina senses light and sends signals to your brain so you can see.
The full article covers:
- What are retinal disorders?
- What causes retinal disorders?
- What are common retinal disorders?
- What are the symptoms of retinal disorders?
- How are retinal disorders diagnosed?
- How are retinal disorders treated?
- Can retinal disorders be prevented?
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert H35.429 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About H35.429Overview
What is the ICD-10 code for microcystoid degeneration of retina, unspecified eye?
The ICD-10-CM code for microcystoid degeneration of retina, unspecified eye is H35.429 (sometimes written as H35429). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is H35.429 (Microcystoid degeneration of retina) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report microcystoid degeneration of retina, unspecified eye on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does H35.429 group to?
When microcystoid degeneration of retina, unspecified eye 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.
Can H35.429 be reported with a code from H35.5?
Not as a rule. The Excludes1 note at H35.4, which applies to H35.429, lists "hereditary retinal degeneration (dystrophy) (H35.5-)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).
What is the ICD-9 equivalent of H35.429?
Under the General Equivalence Mappings, microcystoid degeneration of retina, unspecified eye converts to ICD-9-CM 362.62 (microcystoid degenerat). The mapping is approximate, so confirm the match fits the documentation.