2027 ICD-10-CM Diagnosis Code H35.443Age-related reticular degeneration of retina, bilateral

ICD-10-CM Codes›H00–H59›H30-H36›H35

ICD-10-CM H35.443
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

H35.443 is a billable ICD-10-CM diagnosis code for age-related reticular degeneration of retina, 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. The code is restricted by the Medicare Code Editor to adult patients (age 15 through 124). Coders also document this condition as atrophy of bilateral eyes. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Retinal and vitreous conditions.

Code Identity

ICD-10-CM Code
H35.443
Billable Status
Yes — Valid for Submission
Code Describes
Age-related reticular degeneration of retina, bilateral
Short Description
Age-related reticular degeneration of retina, bilateral
Same as the full description in the CMS dataset.
Parent Code
H35.44
Age-related reticular degeneration of retina

Code Classification

ChapterH00–H59Diseases of the eye and adnexa
SectionH30-H36Disorders of choroid and retina
CategoryH35Other retinal disorders
This CodeH35.443Age-related reticular degeneration of retina, bilateral

Code EditsBilling

Medicare Code Editor checks that affect claim validity for H35.443.

Adult diagnoses
The Medicare Code Editor detects inconsistencies in adult cases by checking a patient's age and any diagnosis on the patient's record. The adult code edits apply to patients age range is 15–124 years inclusive (e.g., senile delirium, mature cataract).

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Atrophy of bilateral eyes
  • Bilateral senile reticular retinal degeneration of eyes
  • Peripheral degeneration of retina of bilateral eyes
  • Senile reticular retinal degeneration

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to H35.443: 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.

From H35.4 Peripheral retinal degeneration applies to 25 codes
  • hereditary retinal degeneration (dystrophy) (H35.5-)

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.

From H35.4 Peripheral retinal degeneration applies to 25 codes
  • peripheral retinal degeneration with retinal break (H33.3-)
From H35 Other retinal disorders applies to 175 codes
From Chapter 7 (H00-H59) Diseases of the eye and adnexa applies to 2,677 codes
  • 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.

From Chapter 7 (H00-H59) Diseases of the eye and adnexa applies to 2,677 codes
  • 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 H35.443, its category, or a range that includes it.

Excludes2 1

These codes carry an Excludes2 note naming H35.443: its condition is not part of those codes, and both may be reported when the patient has both.

  • H33.3 Retinal breaks without detachment
    peripheral retinal degeneration without break (H35.4-) names H35.4-, which includes this code

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

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 H35.443 to ICD-9-CMHistory

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

ICD-9-CM
362.64 Senile reticular degen
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 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About H35.443Overview

What is the ICD-10 code for age-related reticular degeneration of retina, bilateral?

The ICD-10-CM code for age-related reticular degeneration of retina, bilateral is H35.443 (sometimes written as H35443). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is H35.443 (Age-related reticular degeneration of retina) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report age-related reticular degeneration of retina, bilateral on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does H35.443 group to?

When age-related reticular degeneration of retina, 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.

Who can H35.443 be reported for?

The Medicare Code Editor checks age-related reticular degeneration of retina, bilateral against patient demographics: this code is intended for adult patients (age 15 through 124). Claims outside these limits are flagged as inconsistent.

Can H35.443 be reported with a code from H35.5?

Not as a rule. The Excludes1 note at H35.4, which applies to H35.443, 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).