H35.3 — Degeneration of macula and posterior pole
Is H35.3 billable?
No — H35.3 is a non-billable header code. H35.3 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 58 billable codes beneath H35.3.
Billable codes under this header
- H35.30Unspecified macular degeneration
- H35.33Angioid streaks of macula
- H35.341Macular cyst, hole, or pseudohole, right eye
- H35.342Macular cyst, hole, or pseudohole, left eye
- H35.343Macular cyst, hole, or pseudohole, bilateral
- H35.349Macular cyst, hole, or pseudohole, unspecified eye
- H35.351Cystoid macular degeneration, right eye
- H35.352Cystoid macular degeneration, left eye
- H35.353Cystoid macular degeneration, bilateral
- H35.359Cystoid macular degeneration, unspecified eye
- H35.361Drusen (degenerative) of macula, right eye
- H35.362Drusen (degenerative) of macula, left eye
- H35.363Drusen (degenerative) of macula, bilateral
- H35.369Drusen (degenerative) of macula, unspecified eye
- H35.371Puckering of macula, right eye
- H35.372Puckering of macula, left eye
- H35.373Puckering of macula, bilateral
- H35.379Puckering of macula, unspecified eye
- H35.381Toxic maculopathy, right eye
- H35.382Toxic maculopathy, left eye
- H35.383Toxic maculopathy, bilateral
- H35.389Toxic maculopathy, unspecified eye
- H35.3110Nonexudative age-related macular degeneration, right eye, stage unspecified
- H35.3111Nonexudative age-related macular degeneration, right eye, early dry stage
- H35.3112Nonexudative age-related macular degeneration, right eye, intermediate dry stage
- H35.3113Nonexudative age-related macular degeneration, right eye, advanced atrophic without subfoveal involvement
- H35.3114Nonexudative age-related macular degeneration, right eye, advanced atrophic with subfoveal involvement
- H35.3120Nonexudative age-related macular degeneration, left eye, stage unspecified
- H35.3121Nonexudative age-related macular degeneration, left eye, early dry stage
- H35.3122Nonexudative age-related macular degeneration, left eye, intermediate dry stage
- H35.3123Nonexudative age-related macular degeneration, left eye, advanced atrophic without subfoveal involvement
- H35.3124Nonexudative age-related macular degeneration, left eye, advanced atrophic with subfoveal involvement
- H35.3130Nonexudative age-related macular degeneration, bilateral, stage unspecified
- H35.3131Nonexudative age-related macular degeneration, bilateral, early dry stage
- H35.3132Nonexudative age-related macular degeneration, bilateral, intermediate dry stage
- H35.3133Nonexudative age-related macular degeneration, bilateral, advanced atrophic without subfoveal involvement
- H35.3134Nonexudative age-related macular degeneration, bilateral, advanced atrophic with subfoveal involvement
- H35.3190Nonexudative age-related macular degeneration, unspecified eye, stage unspecified
- H35.3191Nonexudative age-related macular degeneration, unspecified eye, early dry stage
- H35.3192Nonexudative age-related macular degeneration, unspecified eye, intermediate dry stage
- H35.3193Nonexudative age-related macular degeneration, unspecified eye, advanced atrophic without subfoveal involvement
- H35.3194Nonexudative age-related macular degeneration, unspecified eye, advanced atrophic with subfoveal involvement
- H35.3210Exudative age-related macular degeneration, right eye, stage unspecified
- H35.3211Exudative age-related macular degeneration, right eye, with active choroidal neovascularization
- H35.3212Exudative age-related macular degeneration, right eye, with inactive choroidal neovascularization
- H35.3213Exudative age-related macular degeneration, right eye, with inactive scar
- H35.3220Exudative age-related macular degeneration, left eye, stage unspecified
- H35.3221Exudative age-related macular degeneration, left eye, with active choroidal neovascularization
- H35.3222Exudative age-related macular degeneration, left eye, with inactive choroidal neovascularization
- H35.3223Exudative age-related macular degeneration, left eye, with inactive scar
- H35.3230Exudative age-related macular degeneration, bilateral, stage unspecified
- H35.3231Exudative age-related macular degeneration, bilateral, with active choroidal neovascularization
- H35.3232Exudative age-related macular degeneration, bilateral, with inactive choroidal neovascularization
- H35.3233Exudative age-related macular degeneration, bilateral, with inactive scar
- H35.3290Exudative age-related macular degeneration, unspecified eye, stage unspecified
- H35.3291Exudative age-related macular degeneration, unspecified eye, with active choroidal neovascularization
- H35.3292Exudative age-related macular degeneration, unspecified eye, with inactive choroidal neovascularization
- H35.3293Exudative age-related macular degeneration, unspecified eye, with inactive scar
H35.3 at a glance
| Code | H35.3 |
|---|---|
| Description | Degeneration of macula and posterior pole |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Excludes2 — not included here — inherited from Chapter 7
The conditions below are not part of H35.3, but a patient may have both at the same time. When documentation supports it, H35.3 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 H35.3, but a patient may have both at the same time. When documentation supports it, H35.3 and the excluded code may both be reported.
What codes fall under H35.3? (9)
- H35.30Unspecified macular degeneration
- H35.31Nonexudative age-related macular degenerationnot billable
- H35.32Exudative age-related macular degenerationnot billable
- H35.33Angioid streaks of macula
- H35.34Macular cyst, hole, or pseudoholenot billable
- H35.35Cystoid macular degenerationnot billable
- H35.36Drusen (degenerative) of maculanot billable
- H35.37Puckering of maculanot billable
- H35.38Toxic maculopathynot billable
How long has H35.3 existed?
H35.3 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)
- H35.0Background retinopathy and retinal vascular changesnot billable
- H35.1Retinopathy of prematuritynot billable
- H35.2Other non-diabetic proliferative retinopathynot 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