H35 — Other retinal disorders
Not billable
Is H35 billable?
No — H35 is a non-billable header code. H35 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 60 billable codes beneath H35.
Billable codes under this header
- H35.9Unspecified retinal disorder
- H35.00Unspecified background retinopathy
- H35.09Other intraretinal microvascular abnormalities
- 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
- H35.30Unspecified macular degeneration
- H35.33Angioid streaks of macula
- H35.40Unspecified peripheral retinal degeneration
- 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
- H35.60Retinal hemorrhage, unspecified eye
- H35.61Retinal hemorrhage, right eye
- H35.62Retinal hemorrhage, left eye
- H35.63Retinal hemorrhage, bilateral
- H35.70Unspecified separation of retinal layers
- H35.81Retinal edema
- H35.82Retinal ischemia
- H35.89Other specified retinal disorders
- 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
- H35.021Exudative retinopathy, right eye
- H35.022Exudative retinopathy, left eye
- H35.023Exudative retinopathy, bilateral
- H35.029Exudative retinopathy, unspecified eye
- H35.031Hypertensive retinopathy, right eye
- H35.032Hypertensive retinopathy, left eye
- H35.033Hypertensive retinopathy, bilateral
- H35.039Hypertensive retinopathy, unspecified eye
- 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
- H35.051Retinal neovascularization, unspecified, right eye
- H35.052Retinal neovascularization, unspecified, left eye
- H35.053Retinal neovascularization, unspecified, bilateral
- H35.059Retinal neovascularization, unspecified, unspecified eye
- H35.061Retinal vasculitis, right eye
- H35.062Retinal vasculitis, left eye
- H35.063Retinal vasculitis, bilateral
- H35.069Retinal vasculitis, unspecified eye
- H35.071Retinal telangiectasis, right eye
- H35.072Retinal telangiectasis, left eye
- H35.073Retinal telangiectasis, bilateral
- H35.079Retinal telangiectasis, unspecified eye
- 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
- H35.111Retinopathy 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
- H35.121Retinopathy of prematurity, stage 1, right eye
H35 at a glance
| Code | H35 |
|---|---|
| Description | Other retinal disorders |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Excludes2 — not included here
The conditions below are not part of H35, but a patient may have both at the same time. When documentation supports it, H35 and the excluded code may both be reported.
Excludes2 — not included here — inherited from Chapter 7
The conditions below are not part of H35, but a patient may have both at the same time. When documentation supports it, H35 and the excluded code may both be reported.
- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
- diabetes mellitus related eye conditions (E09.3-, E10.3-, E11.3-, E13.3-)
- endocrine, nutritional and metabolic diseases (E00-E88)
- injury (trauma) of eye and orbit (S05.-)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
- syphilis related eye disorders (A50.01, A50.3-, A51.43, A52.71)
What codes fall under H35? (10)
- H35.0Background retinopathy and retinal vascular changesnot billable
- H35.1Retinopathy of prematuritynot billable
- H35.2Other non-diabetic proliferative retinopathynot billable
- H35.3Degeneration of macula and posterior polenot billable
- H35.4Peripheral retinal degenerationnot billable
- H35.5Hereditary retinal dystrophynot billable
- H35.6Retinal hemorrhagenot billable
- H35.7Separation of retinal layersnot billable
- H35.8Other specified retinal disordersnot billable
- H35.9Unspecified retinal disorder
How long has H35 existed?
H35 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
Which codes are confused with H35?
ICD-10-CM declares these codes mutually exclusive with H35 — exactly one of each pair can be correct for a given encounter.