H35.2 — Other non-diabetic proliferative retinopathy
Is H35.2 billable?
No — H35.2 is a non-billable header code. H35.2 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 H35.2.
H35.2 at a glance
| Code | H35.2 |
|---|---|
| Description | Other non-diabetic proliferative retinopathy |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
How is H35.2 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to H35.2. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Retinopathy › proliferative NEC (background)
- Retinopathy › proliferative NEC › thalassemia (background)
Excludes1 — never code together
The conditions below can never be reported together with H35.2 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- proliferative vitreo-retinopathy with retinal detachment (H33.4-)
Excludes2 — not included here
The conditions below are not part of H35.2, but a patient may have both at the same time. When documentation supports it, H35.2 and the excluded code may both be reported.
- proliferative sickle-cell retinopathy (H36.82-)
Inclusion terms
Alternative wording in documentation that is classified to H35.2.
- Proliferative vitreo-retinopathy
- Thalassemia proliferative retinopathy
Excludes2 — not included here — inherited from Chapter 7
The conditions below are not part of H35.2, but a patient may have both at the same time. When documentation supports it, H35.2 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 H35.2, but a patient may have both at the same time. When documentation supports it, H35.2 and the excluded code may both be reported.
What codes fall under H35.2? (4)
How long has H35.2 existed?
H35.2 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 H35.2?
ICD-10-CM declares these codes mutually exclusive with H35.2 — exactly one of each pair can be correct for a given encounter.
Which conditions are coded to H35.2?
What other codes are in the H35 family? (9)
- H35.0Background retinopathy and retinal vascular changesnot billable
- H35.1Retinopathy of prematuritynot 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