H35.11 — Retinopathy of prematurity, stage 0
Is H35.11 billable?
No — H35.11 is a non-billable header code. H35.11 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 4 billable codes beneath H35.11.
H35.11 at a glance
| Code | H35.11 |
|---|---|
| Description | Retinopathy of prematurity, stage 0 |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
How is H35.11 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to H35.11. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Retinopathy › of prematurity › stage 0 (background)
Excludes2 — not included here — inherited from Chapter 7
The conditions below are not part of H35.11, but a patient may have both at the same time. When documentation supports it, H35.11 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 H35.11, but a patient may have both at the same time. When documentation supports it, H35.11 and the excluded code may both be reported.
What codes fall under H35.11? (4)
How long has H35.11 existed?
H35.11 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 conditions are coded to H35.11?
What other codes are in the H35.1 family? (7)
- H35.10Retinopathy of prematurity, unspecifiednot billable
- H35.12Retinopathy of prematurity, stage 1not billable
- H35.13Retinopathy of prematurity, stage 2not billable
- H35.14Retinopathy of prematurity, stage 3not billable
- H35.15Retinopathy of prematurity, stage 4not billable
- H35.16Retinopathy of prematurity, stage 5not billable
- H35.17Retrolental fibroplasianot billable