All ICD10 Codes

H35.16

Non-Billable
ChapterH00–H59
Ranksubcategory
Official Description

Retinopathy of prematurity, stage 5

Use a more specific code (4 billable)
H35.161Retinopathy of prematurity, stage 5, right eyeH35.162Retinopathy of prematurity, stage 5, left eyeH35.163Retinopathy of prematurity, stage 5, bilateralH35.169Retinopathy of prematurity, stage 5, unspecified eye
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:
View CH7 NotesView H35 Notes

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
H35.16Retinopathy of prematurity, stage 5Not billable
H35.161Retinopathy of prematurity, stage 5, right eyeBillable
H35.162Retinopathy of prematurity, stage 5, left eyeBillable
H35.163Retinopathy of prematurity, stage 5, bilateralBillable
H35.169Retinopathy of prematurity, stage 5, unspecified eyeBillable

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to H35.16:

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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