H35.0 — Background retinopathy and retinal vascular changes
Is H35.0 billable?
No — H35.0 is a non-billable header code. H35.0 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 30 billable codes beneath H35.0.
Billable codes under this header
- H35.00Unspecified background retinopathy
- H35.09Other intraretinal microvascular abnormalities
- 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
H35.0 at a glance
| Code | H35.0 |
|---|---|
| Description | Background retinopathy and retinal vascular changes |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
How is H35.0 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to H35.0. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Arteriosclerosis, arteriosclerotic › retina (diffuse) (obliterans) (of) (senile) (with calcification)
- Retinopathy › arteriosclerotic (background)
- Retinopathy › atherosclerotic (background)
Code also
Two codes may be needed to describe the condition fully. Whether H35.0 is sequenced first depends on the reason for the encounter.
- any associated hypertension (I10)
Excludes2 — not included here — inherited from Chapter 7
The conditions below are not part of H35.0, but a patient may have both at the same time. When documentation supports it, H35.0 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)
Excludes2 — not included here — inherited from H35
The conditions below are not part of H35.0, but a patient may have both at the same time. When documentation supports it, H35.0 and the excluded code may both be reported.
What codes fall under H35.0? (9)
- H35.00Unspecified background retinopathy
- H35.01Changes in retinal vascular appearancenot billable
- H35.02Exudative retinopathynot billable
- H35.03Hypertensive retinopathynot billable
- H35.04Retinal micro-aneurysms, unspecifiednot billable
- H35.05Retinal neovascularization, unspecifiednot billable
- H35.06Retinal vasculitisnot billable
- H35.07Retinal telangiectasisnot billable
- H35.09Other intraretinal microvascular abnormalities
How long has H35.0 existed?
H35.0 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.
What other codes are in the H35 family? (9)
- 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