Other retinal disorders (H35) ICD-10-CM
The H35 code range covers other retinal disorders with 224 ICD-10-CM diagnosis codes. 175 of them are billable and valid for claim submission in fiscal year 2027, and the category headers group them but cannot themselves be billed.
Type 2 Excludes
A type 2 excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
Codes in the H35 Range 224 codes · 175 billable
- H35 Other retinal disordersNon-billable
- H35.0 Background retinopathy and retinal vascular changesNon-billable
- H35.00 Unspecified background retinopathy
- H35.01 Changes in retinal vascular appearanceNon-billable
- H35.011 Changes in retinal vascular appearance, right eye
- H35.012 Changes in retinal vascular appearance, left eye
- H35.013 Changes in retinal vascular appearance, bilateral
- H35.019 Changes in retinal vascular appearance, unspecified eye
- H35.02 Exudative retinopathyNon-billable
- H35.021 Exudative retinopathy, right eye
- H35.022 Exudative retinopathy, left eye
- H35.023 Exudative retinopathy, bilateral
- H35.029 Exudative retinopathy, unspecified eye
- H35.03 Hypertensive retinopathyNon-billable
- H35.031 Hypertensive retinopathy, right eye
- H35.032 Hypertensive retinopathy, left eye
- H35.033 Hypertensive retinopathy, bilateral
- H35.039 Hypertensive retinopathy, unspecified eye
- H35.04 Retinal micro-aneurysms, unspecifiedNon-billable
- H35.041 Retinal micro-aneurysms, unspecified, right eye
- H35.042 Retinal micro-aneurysms, unspecified, left eye
- H35.043 Retinal micro-aneurysms, unspecified, bilateral
- H35.049 Retinal micro-aneurysms, unspecified, unspecified eye
- H35.05 Retinal neovascularization, unspecifiedNon-billable
- H35.051 Retinal neovascularization, unspecified, right eye
- H35.052 Retinal neovascularization, unspecified, left eye
- H35.053 Retinal neovascularization, unspecified, bilateral
- H35.059 Retinal neovascularization, unspecified, unspecified eye
- H35.06 Retinal vasculitisNon-billable
- H35.061 Retinal vasculitis, right eye
- H35.062 Retinal vasculitis, left eye
- H35.063 Retinal vasculitis, bilateral
- H35.069 Retinal vasculitis, unspecified eye
- H35.07 Retinal telangiectasisNon-billable
- H35.071 Retinal telangiectasis, right eye
- H35.072 Retinal telangiectasis, left eye
- H35.073 Retinal telangiectasis, bilateral
- H35.079 Retinal telangiectasis, unspecified eye
- H35.09 Other intraretinal microvascular abnormalities
- H35.1 Retinopathy of prematurityNon-billable
- H35.10 Retinopathy of prematurity, unspecifiedNon-billable
- H35.101 Retinopathy of prematurity, unspecified, right eye
- H35.102 Retinopathy of prematurity, unspecified, left eye
- H35.103 Retinopathy of prematurity, unspecified, bilateral
- H35.109 Retinopathy of prematurity, unspecified, unspecified eye
- H35.11 Retinopathy of prematurity, stage 0Non-billable
- H35.111 Retinopathy of prematurity, stage 0, right eye
- H35.112 Retinopathy of prematurity, stage 0, left eye
- H35.113 Retinopathy of prematurity, stage 0, bilateral
- H35.119 Retinopathy of prematurity, stage 0, unspecified eye
- H35.12 Retinopathy of prematurity, stage 1Non-billable
- H35.121 Retinopathy of prematurity, stage 1, right eye
- H35.122 Retinopathy of prematurity, stage 1, left eye
- H35.123 Retinopathy of prematurity, stage 1, bilateral
- H35.129 Retinopathy of prematurity, stage 1, unspecified eye
- H35.13 Retinopathy of prematurity, stage 2Non-billable
- H35.131 Retinopathy of prematurity, stage 2, right eye
- H35.132 Retinopathy of prematurity, stage 2, left eye
- H35.133 Retinopathy of prematurity, stage 2, bilateral
- H35.139 Retinopathy of prematurity, stage 2, unspecified eye
- H35.14 Retinopathy of prematurity, stage 3Non-billable
- H35.141 Retinopathy of prematurity, stage 3, right eye
- H35.142 Retinopathy of prematurity, stage 3, left eye
- H35.143 Retinopathy of prematurity, stage 3, bilateral
- H35.149 Retinopathy of prematurity, stage 3, unspecified eye
- H35.15 Retinopathy of prematurity, stage 4Non-billable
- H35.151 Retinopathy of prematurity, stage 4, right eye
- H35.152 Retinopathy of prematurity, stage 4, left eye
- H35.153 Retinopathy of prematurity, stage 4, bilateral
- H35.159 Retinopathy of prematurity, stage 4, unspecified eye
- H35.16 Retinopathy of prematurity, stage 5Non-billable
- H35.161 Retinopathy of prematurity, stage 5, right eye
- H35.162 Retinopathy of prematurity, stage 5, left eye
- H35.163 Retinopathy of prematurity, stage 5, bilateral
- H35.169 Retinopathy of prematurity, stage 5, unspecified eye
- H35.17 Retrolental fibroplasiaNon-billable
- H35.171 Retrolental fibroplasia, right eye
- H35.172 Retrolental fibroplasia, left eye
- H35.173 Retrolental fibroplasia, bilateral
- H35.179 Retrolental fibroplasia, unspecified eye
- H35.2 Other non-diabetic proliferative retinopathyNon-billable
- H35.20 Other non-diabetic proliferative retinopathy, unspecified eye
- H35.21 Other non-diabetic proliferative retinopathy, right eye
- H35.22 Other non-diabetic proliferative retinopathy, left eye
- H35.23 Other non-diabetic proliferative retinopathy, bilateral
- H35.3 Degeneration of macula and posterior poleNon-billable
- H35.30 Unspecified macular degeneration
- H35.31 Nonexudative age-related macular degenerationNon-billable
- H35.311 Nonexudative age-related macular degeneration, right eyeNon-billable
- H35.3110 Nonexudative age-related macular degeneration, right eye, stage unspecified
- H35.3111 Nonexudative age-related macular degeneration, right eye, early dry stage
- H35.3112 Nonexudative age-related macular degeneration, right eye, intermediate dry stage
- H35.3113 Nonexudative age-related macular degeneration, right eye, advanced atrophic without subfoveal involvement
- H35.3114 Nonexudative age-related macular degeneration, right eye, advanced atrophic with subfoveal involvement
- H35.312 Nonexudative age-related macular degeneration, left eyeNon-billable
- H35.3120 Nonexudative age-related macular degeneration, left eye, stage unspecified
- H35.3121 Nonexudative age-related macular degeneration, left eye, early dry stage
- H35.3122 Nonexudative age-related macular degeneration, left eye, intermediate dry stage
- H35.3123 Nonexudative age-related macular degeneration, left eye, advanced atrophic without subfoveal involvement
- H35.3124 Nonexudative age-related macular degeneration, left eye, advanced atrophic with subfoveal involvement
- H35.313 Nonexudative age-related macular degeneration, bilateralNon-billable
- H35.3130 Nonexudative age-related macular degeneration, bilateral, stage unspecified
- H35.3131 Nonexudative age-related macular degeneration, bilateral, early dry stage
- H35.3132 Nonexudative age-related macular degeneration, bilateral, intermediate dry stage
- H35.3133 Nonexudative age-related macular degeneration, bilateral, advanced atrophic without subfoveal involvement
- H35.3134 Nonexudative age-related macular degeneration, bilateral, advanced atrophic with subfoveal involvement
- H35.319 Nonexudative age-related macular degeneration, unspecified eyeNon-billable
- H35.3190 Nonexudative age-related macular degeneration, unspecified eye, stage unspecified
- H35.3191 Nonexudative age-related macular degeneration, unspecified eye, early dry stage
- H35.3192 Nonexudative age-related macular degeneration, unspecified eye, intermediate dry stage
- H35.3193 Nonexudative age-related macular degeneration, unspecified eye, advanced atrophic without subfoveal involvement
- H35.3194 Nonexudative age-related macular degeneration, unspecified eye, advanced atrophic with subfoveal involvement
- H35.32 Exudative age-related macular degenerationNon-billable
- H35.321 Exudative age-related macular degeneration, right eyeNon-billable
- H35.3210 Exudative age-related macular degeneration, right eye, stage unspecified
- H35.3211 Exudative age-related macular degeneration, right eye, with active choroidal neovascularization
- H35.3212 Exudative age-related macular degeneration, right eye, with inactive choroidal neovascularization
- H35.3213 Exudative age-related macular degeneration, right eye, with inactive scar
- H35.322 Exudative age-related macular degeneration, left eyeNon-billable
- H35.3220 Exudative age-related macular degeneration, left eye, stage unspecified
- H35.3221 Exudative age-related macular degeneration, left eye, with active choroidal neovascularization
- H35.3222 Exudative age-related macular degeneration, left eye, with inactive choroidal neovascularization
- H35.3223 Exudative age-related macular degeneration, left eye, with inactive scar
- H35.323 Exudative age-related macular degeneration, bilateralNon-billable
- H35.3230 Exudative age-related macular degeneration, bilateral, stage unspecified
- H35.3231 Exudative age-related macular degeneration, bilateral, with active choroidal neovascularization
- H35.3232 Exudative age-related macular degeneration, bilateral, with inactive choroidal neovascularization
- H35.3233 Exudative age-related macular degeneration, bilateral, with inactive scar
- H35.329 Exudative age-related macular degeneration, unspecified eyeNon-billable
- H35.3290 Exudative age-related macular degeneration, unspecified eye, stage unspecified
- H35.3291 Exudative age-related macular degeneration, unspecified eye, with active choroidal neovascularization
- H35.3292 Exudative age-related macular degeneration, unspecified eye, with inactive choroidal neovascularization
- H35.3293 Exudative age-related macular degeneration, unspecified eye, with inactive scar
- H35.33 Angioid streaks of macula
- H35.34 Macular cyst, hole, or pseudoholeNon-billable
- H35.341 Macular cyst, hole, or pseudohole, right eye
- H35.342 Macular cyst, hole, or pseudohole, left eye
- H35.343 Macular cyst, hole, or pseudohole, bilateral
- H35.349 Macular cyst, hole, or pseudohole, unspecified eye
- H35.35 Cystoid macular degenerationNon-billable
- H35.351 Cystoid macular degeneration, right eye
- H35.352 Cystoid macular degeneration, left eye
- H35.353 Cystoid macular degeneration, bilateral
- H35.359 Cystoid macular degeneration, unspecified eye
- H35.36 Drusen (degenerative) of maculaNon-billable
- H35.361 Drusen (degenerative) of macula, right eye
- H35.362 Drusen (degenerative) of macula, left eye
- H35.363 Drusen (degenerative) of macula, bilateral
- H35.369 Drusen (degenerative) of macula, unspecified eye
- H35.37 Puckering of maculaNon-billable
- H35.371 Puckering of macula, right eye
- H35.372 Puckering of macula, left eye
- H35.373 Puckering of macula, bilateral
- H35.379 Puckering of macula, unspecified eye
- H35.38 Toxic maculopathyNon-billable
- H35.381 Toxic maculopathy, right eye
- H35.382 Toxic maculopathy, left eye
- H35.383 Toxic maculopathy, bilateral
- H35.389 Toxic maculopathy, unspecified eye
- H35.4 Peripheral retinal degenerationNon-billable
- H35.40 Unspecified peripheral retinal degeneration
- H35.41 Lattice degeneration of retinaNon-billable
- H35.411 Lattice degeneration of retina, right eye
- H35.412 Lattice degeneration of retina, left eye
- H35.413 Lattice degeneration of retina, bilateral
- H35.419 Lattice degeneration of retina, unspecified eye
- H35.42 Microcystoid degeneration of retinaNon-billable
- H35.421 Microcystoid degeneration of retina, right eye
- H35.422 Microcystoid degeneration of retina, left eye
- H35.423 Microcystoid degeneration of retina, bilateral
- H35.429 Microcystoid degeneration of retina, unspecified eye
- H35.43 Paving stone degeneration of retinaNon-billable
- H35.431 Paving stone degeneration of retina, right eye
- H35.432 Paving stone degeneration of retina, left eye
- H35.433 Paving stone degeneration of retina, bilateral
- H35.439 Paving stone degeneration of retina, unspecified eye
- H35.44 Age-related reticular degeneration of retinaNon-billable
- H35.441 Age-related reticular degeneration of retina, right eye
- H35.442 Age-related reticular degeneration of retina, left eye
- H35.443 Age-related reticular degeneration of retina, bilateral
- H35.449 Age-related reticular degeneration of retina, unspecified eye
- H35.45 Secondary pigmentary degenerationNon-billable
- H35.451 Secondary pigmentary degeneration, right eye
- H35.452 Secondary pigmentary degeneration, left eye
- H35.453 Secondary pigmentary degeneration, bilateral
- H35.459 Secondary pigmentary degeneration, unspecified eye
- H35.46 Secondary vitreoretinal degenerationNon-billable
- H35.461 Secondary vitreoretinal degeneration, right eye
- H35.462 Secondary vitreoretinal degeneration, left eye
- H35.463 Secondary vitreoretinal degeneration, bilateral
- H35.469 Secondary vitreoretinal degeneration, unspecified eye
- H35.5 Hereditary retinal dystrophyNon-billable
- H35.50 Unspecified hereditary retinal dystrophy
- H35.51 Vitreoretinal dystrophy
- H35.52 Pigmentary retinal dystrophy
- H35.53 Other dystrophies primarily involving the sensory retina
- H35.54 Dystrophies primarily involving the retinal pigment epithelium
- H35.6 Retinal hemorrhageNon-billable
- H35.60 Retinal hemorrhage, unspecified eye
- H35.61 Retinal hemorrhage, right eye
- H35.62 Retinal hemorrhage, left eye
- H35.63 Retinal hemorrhage, bilateral
- H35.7 Separation of retinal layersNon-billable
- H35.70 Unspecified separation of retinal layers
- H35.71 Central serous chorioretinopathyNon-billable
- H35.711 Central serous chorioretinopathy, right eye
- H35.712 Central serous chorioretinopathy, left eye
- H35.713 Central serous chorioretinopathy, bilateral
- H35.719 Central serous chorioretinopathy, unspecified eye
- H35.72 Serous detachment of retinal pigment epitheliumNon-billable
- H35.721 Serous detachment of retinal pigment epithelium, right eye
- H35.722 Serous detachment of retinal pigment epithelium, left eye
- H35.723 Serous detachment of retinal pigment epithelium, bilateral
- H35.729 Serous detachment of retinal pigment epithelium, unspecified eye
- H35.73 Hemorrhagic detachment of retinal pigment epitheliumNon-billable
- H35.731 Hemorrhagic detachment of retinal pigment epithelium, right eye
- H35.732 Hemorrhagic detachment of retinal pigment epithelium, left eye
- H35.733 Hemorrhagic detachment of retinal pigment epithelium, bilateral
- H35.739 Hemorrhagic detachment of retinal pigment epithelium, unspecified eye
- H35.8 Other specified retinal disordersNon-billable
- H35.81 Retinal edema
- H35.82 Retinal ischemia
- H35.89 Other specified retinal disorders
- H35.9 Unspecified retinal disorder
Clinical Terms in This Code Range
Definitions from the National Library of Medicine for conditions coded in the H35 range.
Angioid Streaks
Small breaks in the elastin-filled tissue of the retina.
Central Serous Chorioretinopathy
A visual impairment characterized by the accumulation of fluid under the retina through a defect in the retinal pigment epithelium.
Hereditary Retinal Dystrophy
An inherited form of retinal dystrophy.
Hypertensive Retinopathy
Degenerative changes to the RETINA due to HYPERTENSION.
Peripheral Retinal Degeneration
Degeneration of the peripheral retina.
Retinal Hemorrhage
Bleeding from the vessels of the retina.
Retinal Neovascularization
Formation of new blood vessels originating from the retinal veins and extending along the inner (vitreal) surface of the retina.
Retinal Telangiectasis
A group of rare, idiopathic, congenital retinal vascular anomalies affecting the retinal capillaries. It is characterized by dilation and tortuosity of retinal vessels and formation of multiple aneurysms, with different degrees of leakage and exudates emanating from the blood vessels.
Retinal Vasculitis
Inflammation of the retinal vasculature with various causes including infectious disease; LUPUS ERYTHEMATOSUS, SYSTEMIC; MULTIPLE SCLEROSIS; BEHCET SYNDROME; and CHORIORETINITIS.
Retinopathy of Prematurity
A bilateral retinopathy occurring in premature infants treated with excessively high concentrations of oxygen, characterized by vascular dilatation, proliferation, and tortuosity, edema, and retinal detachment, with ultimate conversion of the retina into a fibrous mass that can be seen as a dense retrolental membrane. Usually growth of the eye is arrested and may result in microophthalmia, and blindness may occur. (Dorland, 27th ed)
Vitelliform Macular Dystrophy
Autosomal dominant hereditary maculopathy with childhood-onset accumulation of LIPOFUSION in RETINAL PIGMENT EPITHELIUM. Affected individuals develop progressive central acuity loss, and distorted vision (METAMORPHOPSIA). It is associated with mutations in bestrophin, a chloride channel.
About the H35 Code Range
These retinal disorders include blood vessel changes, degeneration, bleeding, and separation of retinal layers.
H35.0 groups background retinopathy and vascular changes by type. H35.1 separates retinopathy of prematurity by stage. H35.2 distinguishes the eye affected by other non-diabetic proliferative retinopathy. H35.3 and H35.4 group degeneration by location and type. H35.5 separates hereditary retinal dystrophies by type or tissue involved. H35.6 distinguishes the eye affected by retinal bleeding. H35.7 separates types of retinal layer separation. H35.8 identifies other specified disorders; H35.9 is unspecified.
Within age-related macular degeneration, the seventh character distinguishes dry stages under H35.31 and active or inactive changes under H35.32.
Questions About This Page
How many billable codes are in the H35 range?
Of the 224 codes in this range, 175 are billable and valid for claim submission from October 1, 2026 through September 30, 2027. Category header codes group them but cannot be reported on claims.
What does the H35 range classify?
The range classifies other retinal disorders. Each code links to its own reference page with billing status, MS-DRG grouping, coding notes, and clinical information.
Related References
Source: CMS FY 2027 ICD-10-CM Tabular List and order file, effective October 1, 2026 through September 30, 2027.