H35.15

Non-Billable
ChapterH00–H59
Ranksubcategory
Official Description

Retinopathy of prematurity, stage 4

Metadata & Insights
  • Non-billable category (requires more specific sub-code).
  • Chapter 7: Diseases of the Eye and Adnexa (H00-H59).
General instructions are available for the parent sections:

Clinical Hierarchy

BillableHas subcodes
CH7Diseases of the eye and adnexa (H00-H59)
H30-H36Disorders of choroid and retina (H30-H36)
H35Other retinal disorders
H35.1Retinopathy of prematurity
H35.15Retinopathy of prematurity, stage 4Not billable
H35.151Retinopathy of prematurity, stage 4, right eyeBillable
H35.152Retinopathy of prematurity, stage 4, left eyeBillable
H35.153Retinopathy of prematurity, stage 4, bilateralBillable
H35.159Retinopathy of prematurity, stage 4, unspecified eyeBillable

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to H35.15:

categoryH35
Other retinal disorders
View context instructions
chapterCH7
Diseases of the eye and adnexa (H00-H59)
View context instructions

MS-DRG Classification

2026

No direct MS-DRG triggers identified.

Cross Reference

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