H35Not billable, use a more specific code below

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.

Advertisements

Instructional notes

Excludes2: not included here, code separately if applicable

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.

Read Section I.C.7 (page 48)

All codes under H35

H35 can't be used on a claim. Pick a billable code below; grey headings group them.

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 MedlinePlus

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.