Other retinal disorders
In Disorders of choroid and retina (H30-H36), chapter 7: Diseases of the Eye and Adnexa
175 billable codes under H35: 10 are a CC; 16 map to HCC 300 (Exudative Macular Degeneration).A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment. An HCC counts toward a Medicare Advantage patient's risk score.
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Instructional notes
Excludes2: not included here, code separately if applicable
- diabetic retinal disorders (E08.311-E08.359, E09.311-E09.359, E10.311-E10.359, E11.311-E11.359, E13.311-E13.359)
Official coding guidelines
From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.
Covers coding glaucoma by type, eye, and stage, including bilateral cases and stage changes, and coding blindness or low vision when the impairment category is undocumented.
All codes under H35
H35 can't be used on a claim. Pick a billable code below; grey headings group them.
- H35.0Background retinopathy and retinal vascular changes
- H35.00Unspecified background retinopathy
- H35.01Changes in retinal vascular appearance
- H35.011Changes in retinal vascular appearance, right eye
- H35.012Changes in retinal vascular appearance, left eye
- H35.013Changes in retinal vascular appearance, bilateral
- H35.019Changes in retinal vascular appearance, unspecified eye
- H35.02Exudative retinopathy
- H35.021Exudative retinopathy, right eye
- H35.022Exudative retinopathy, left eye
- H35.023Exudative retinopathy, bilateral
- H35.029Exudative retinopathy, unspecified eye
- H35.03Hypertensive retinopathy
- H35.031Hypertensive retinopathy, right eye
- H35.032Hypertensive retinopathy, left eye
- H35.033Hypertensive retinopathy, bilateral
- H35.039Hypertensive retinopathy, unspecified eye
- H35.04Retinal micro-aneurysms, unspecified
- H35.041Retinal micro-aneurysms, unspecified, right eye
- H35.042Retinal micro-aneurysms, unspecified, left eye
- H35.043Retinal micro-aneurysms, unspecified, bilateral
- H35.049Retinal micro-aneurysms, unspecified, unspecified eye
- H35.05Retinal neovascularization, unspecified
- H35.051Retinal neovascularization, unspecified, right eye
- H35.052Retinal neovascularization, unspecified, left eye
- H35.053Retinal neovascularization, unspecified, bilateral
- H35.059Retinal neovascularization, unspecified, unspecified eye
- H35.06Retinal vasculitis
- H35.061Retinal vasculitis, right eye
- H35.062Retinal vasculitis, left eye
- H35.063Retinal vasculitis, bilateral
- H35.069Retinal vasculitis, unspecified eye
- H35.07Retinal telangiectasis
- H35.071Retinal telangiectasis, right eye
- H35.072Retinal telangiectasis, left eye
- H35.073Retinal telangiectasis, bilateral
- H35.079Retinal telangiectasis, unspecified eye
- H35.09Other intraretinal microvascular abnormalities
- H35.1Retinopathy of prematurity
- H35.10Retinopathy of prematurity, unspecified
- H35.101Retinopathy of prematurity, unspecified, right eye
- H35.102Retinopathy of prematurity, unspecified, left eye
- H35.103Retinopathy of prematurity, unspecified, bilateral
- H35.109Retinopathy of prematurity, unspecified, unspecified eye
- H35.11Retinopathy of prematurity, stage 0
- H35.111Retinopathy of prematurity, stage 0, right eye
- H35.112Retinopathy of prematurity, stage 0, left eye
- H35.113Retinopathy of prematurity, stage 0, bilateral
- H35.119Retinopathy of prematurity, stage 0, unspecified eye
- H35.12Retinopathy of prematurity, stage 1
- H35.121Retinopathy of prematurity, stage 1, right eye
- H35.122Retinopathy of prematurity, stage 1, left eye
- H35.123Retinopathy of prematurity, stage 1, bilateral
- H35.129Retinopathy of prematurity, stage 1, unspecified eye
- H35.13Retinopathy of prematurity, stage 2
- H35.131Retinopathy of prematurity, stage 2, right eye
- H35.132Retinopathy of prematurity, stage 2, left eye
- H35.133Retinopathy of prematurity, stage 2, bilateral
- H35.139Retinopathy of prematurity, stage 2, unspecified eye
- H35.14Retinopathy of prematurity, stage 3
- H35.141Retinopathy of prematurity, stage 3, right eye
- H35.142Retinopathy of prematurity, stage 3, left eye
- H35.143Retinopathy of prematurity, stage 3, bilateral
- H35.149Retinopathy of prematurity, stage 3, unspecified eye
- H35.15Retinopathy of prematurity, stage 4
- H35.151Retinopathy of prematurity, stage 4, right eye
- H35.152Retinopathy of prematurity, stage 4, left eye
- H35.153Retinopathy of prematurity, stage 4, bilateral
- H35.159Retinopathy of prematurity, stage 4, unspecified eye
- H35.16Retinopathy of prematurity, stage 5
- H35.161Retinopathy of prematurity, stage 5, right eye
- H35.162Retinopathy of prematurity, stage 5, left eye
- H35.163Retinopathy of prematurity, stage 5, bilateral
- H35.169Retinopathy of prematurity, stage 5, unspecified eye
- H35.17Retrolental fibroplasia
- H35.171Retrolental fibroplasia, right eye
- H35.172Retrolental fibroplasia, left eye
- H35.173Retrolental fibroplasia, bilateral
- H35.179Retrolental fibroplasia, unspecified eye
- H35.2Other non-diabetic proliferative retinopathy
- H35.20Other non-diabetic proliferative retinopathy, unspecified eye
- H35.21Other non-diabetic proliferative retinopathy, right eye
- H35.22Other non-diabetic proliferative retinopathy, left eye
- H35.23Other non-diabetic proliferative retinopathy, bilateral
- H35.3Degeneration of macula and posterior pole
- H35.30Unspecified macular degeneration
- H35.31Nonexudative age-related macular degeneration
- H35.311Nonexudative age-related macular degeneration, right eye
- H35.3110Nonexudative age-related macular degeneration, right eye, stage unspecified
- H35.3111Nonexudative age-related macular degeneration, right eye, early dry stage
- H35.3112Nonexudative age-related macular degeneration, right eye, intermediate dry stage
- H35.3113Nonexudative age-related macular degeneration, right eye, advanced atrophic without subfoveal involvement
- H35.3114Nonexudative age-related macular degeneration, right eye, advanced atrophic with subfoveal involvement
- H35.312Nonexudative age-related macular degeneration, left eye
- H35.3120Nonexudative age-related macular degeneration, left eye, stage unspecified
- H35.3121Nonexudative age-related macular degeneration, left eye, early dry stage
- H35.3122Nonexudative age-related macular degeneration, left eye, intermediate dry stage
- H35.3123Nonexudative age-related macular degeneration, left eye, advanced atrophic without subfoveal involvement
- H35.3124Nonexudative age-related macular degeneration, left eye, advanced atrophic with subfoveal involvement
- H35.313Nonexudative age-related macular degeneration, bilateral
- H35.3130Nonexudative age-related macular degeneration, bilateral, stage unspecified
- H35.3131Nonexudative age-related macular degeneration, bilateral, early dry stage
- H35.3132Nonexudative age-related macular degeneration, bilateral, intermediate dry stage
- H35.3133Nonexudative age-related macular degeneration, bilateral, advanced atrophic without subfoveal involvement
- H35.3134Nonexudative age-related macular degeneration, bilateral, advanced atrophic with subfoveal involvement
- H35.319Nonexudative age-related macular degeneration, unspecified eye
- H35.3190Nonexudative age-related macular degeneration, unspecified eye, stage unspecified
- H35.3191Nonexudative age-related macular degeneration, unspecified eye, early dry stage
- H35.3192Nonexudative age-related macular degeneration, unspecified eye, intermediate dry stage
- H35.3193Nonexudative age-related macular degeneration, unspecified eye, advanced atrophic without subfoveal involvement
- H35.3194Nonexudative age-related macular degeneration, unspecified eye, advanced atrophic with subfoveal involvement
- H35.32Exudative age-related macular degeneration
- H35.321Exudative age-related macular degeneration, right eye
- H35.3210Exudative age-related macular degeneration, right eye, stage unspecified
- H35.3211Exudative age-related macular degeneration, right eye, with active choroidal neovascularization
- H35.3212Exudative age-related macular degeneration, right eye, with inactive choroidal neovascularization
- H35.3213Exudative age-related macular degeneration, right eye, with inactive scar
- H35.322Exudative age-related macular degeneration, left eye
- H35.3220Exudative age-related macular degeneration, left eye, stage unspecified
- H35.3221Exudative age-related macular degeneration, left eye, with active choroidal neovascularization
- H35.3222Exudative age-related macular degeneration, left eye, with inactive choroidal neovascularization
- H35.3223Exudative age-related macular degeneration, left eye, with inactive scar
- H35.323Exudative age-related macular degeneration, bilateral
- H35.3230Exudative age-related macular degeneration, bilateral, stage unspecified
- H35.3231Exudative age-related macular degeneration, bilateral, with active choroidal neovascularization
- H35.3232Exudative age-related macular degeneration, bilateral, with inactive choroidal neovascularization
- H35.3233Exudative age-related macular degeneration, bilateral, with inactive scar
- H35.329Exudative age-related macular degeneration, unspecified eye
- H35.3290Exudative age-related macular degeneration, unspecified eye, stage unspecified
- H35.3291Exudative age-related macular degeneration, unspecified eye, with active choroidal neovascularization
- H35.3292Exudative age-related macular degeneration, unspecified eye, with inactive choroidal neovascularization
- H35.3293Exudative age-related macular degeneration, unspecified eye, with inactive scar
- H35.33Angioid streaks of macula
- H35.34Macular cyst, hole, or pseudohole
- H35.341Macular cyst, hole, or pseudohole, right eye
- H35.342Macular cyst, hole, or pseudohole, left eye
- H35.343Macular cyst, hole, or pseudohole, bilateral
- H35.349Macular cyst, hole, or pseudohole, unspecified eye
- H35.35Cystoid macular degeneration
- H35.351Cystoid macular degeneration, right eye
- H35.352Cystoid macular degeneration, left eye
- H35.353Cystoid macular degeneration, bilateral
- H35.359Cystoid macular degeneration, unspecified eye
- H35.36Drusen (degenerative) of macula
- H35.361Drusen (degenerative) of macula, right eye
- H35.362Drusen (degenerative) of macula, left eye
- H35.363Drusen (degenerative) of macula, bilateral
- H35.369Drusen (degenerative) of macula, unspecified eye
- H35.37Puckering of macula
- H35.371Puckering of macula, right eye
- H35.372Puckering of macula, left eye
- H35.373Puckering of macula, bilateral
- H35.379Puckering of macula, unspecified eye
- H35.38Toxic maculopathy
- H35.381Toxic maculopathy, right eye
- H35.382Toxic maculopathy, left eye
- H35.383Toxic maculopathy, bilateral
- H35.389Toxic maculopathy, unspecified eye
- H35.4Peripheral retinal degeneration
- H35.40Unspecified peripheral retinal degeneration
- H35.41Lattice degeneration of retina
- H35.411Lattice degeneration of retina, right eye
- H35.412Lattice degeneration of retina, left eye
- H35.413Lattice degeneration of retina, bilateral
- H35.419Lattice degeneration of retina, unspecified eye
- H35.42Microcystoid degeneration of retina
- H35.421Microcystoid degeneration of retina, right eye
- H35.422Microcystoid degeneration of retina, left eye
- H35.423Microcystoid degeneration of retina, bilateral
- H35.429Microcystoid degeneration of retina, unspecified eye
- H35.43Paving stone degeneration of retina
- H35.431Paving stone degeneration of retina, right eye
- H35.432Paving stone degeneration of retina, left eye
- H35.433Paving stone degeneration of retina, bilateral
- H35.439Paving stone degeneration of retina, unspecified eye
- H35.44Age-related reticular degeneration of retina
- H35.441Age-related reticular degeneration of retina, right eye
- H35.442Age-related reticular degeneration of retina, left eye
- H35.443Age-related reticular degeneration of retina, bilateral
- H35.449Age-related reticular degeneration of retina, unspecified eye
- H35.45Secondary pigmentary degeneration
- H35.451Secondary pigmentary degeneration, right eye
- H35.452Secondary pigmentary degeneration, left eye
- H35.453Secondary pigmentary degeneration, bilateral
- H35.459Secondary pigmentary degeneration, unspecified eye
- H35.46Secondary vitreoretinal degeneration
- H35.461Secondary vitreoretinal degeneration, right eye
- H35.462Secondary vitreoretinal degeneration, left eye
- H35.463Secondary vitreoretinal degeneration, bilateral
- H35.469Secondary vitreoretinal degeneration, unspecified eye
- H35.5Hereditary retinal dystrophy
- H35.50Unspecified hereditary retinal dystrophy
- H35.51Vitreoretinal dystrophy
- H35.52Pigmentary retinal dystrophy
- H35.53Other dystrophies primarily involving the sensory retina
- H35.54Dystrophies primarily involving the retinal pigment epithelium
- H35.6Retinal hemorrhage
- H35.60Retinal hemorrhage, unspecified eye
- H35.61Retinal hemorrhage, right eye
- H35.62Retinal hemorrhage, left eye
- H35.63Retinal hemorrhage, bilateral
- H35.7Separation of retinal layers
- H35.70Unspecified separation of retinal layers
- H35.71Central serous chorioretinopathy
- H35.711Central serous chorioretinopathy, right eye
- H35.712Central serous chorioretinopathy, left eye
- H35.713Central serous chorioretinopathy, bilateral
- H35.719Central serous chorioretinopathy, unspecified eye
- H35.72Serous detachment of retinal pigment epithelium
- H35.721Serous detachment of retinal pigment epithelium, right eye
- H35.722Serous detachment of retinal pigment epithelium, left eye
- H35.723Serous detachment of retinal pigment epithelium, bilateral
- H35.729Serous detachment of retinal pigment epithelium, unspecified eye
- H35.73Hemorrhagic detachment of retinal pigment epithelium
- H35.731Hemorrhagic detachment of retinal pigment epithelium, right eye
- H35.732Hemorrhagic detachment of retinal pigment epithelium, left eye
- H35.733Hemorrhagic detachment of retinal pigment epithelium, bilateral
- H35.739Hemorrhagic detachment of retinal pigment epithelium, unspecified eye
- H35.8Other specified retinal disorders
- H35.81Retinal edema
- H35.82Retinal ischemia
- H35.89Other specified retinal disorders
- H35.9Unspecified retinal disorder
H35 MS-DRGs
As the principal diagnosis, all 175 billable codes under H35 group to MS-DRG 124 or 125 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
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.
Read more about retinal disorders on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.
