H35.3130 — Nonexudative age-related macular degeneration, bilateral, stage unspecified
Is H35.3130 billable?
Yes, but H35.3130 is an unspecified code. H35.3130 is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, H35.3130 is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting H35.3130.
H35.3130 at a glance
| Code | H35.3130 |
|---|---|
| Description | Nonexudative age-related macular degeneration, bilateral, stage unspecified |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
| 7th character "0" | stage unspecified |
What does the 7th character "0" mean in H35.3130?
In H35.3130, the 7th character 0 means stage unspecified. The 7th character is required for H35.3130 to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
Which MS-DRGs does H35.3130 group to?
H35.3130 sits in MDC 02 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 124Other Disorders of the Eye with MCC or Thrombolytic Agentmedical
- 125Other Disorders of the Eye without MCCmedical
How is H35.3130 listed in the Alphabetic Index?
The Alphabetic Index lists these routes under H35.31, the nearest indexed parent of H35.3130. Use them to find the family, then select the specific code.
- Degeneration, degenerative › macula, macular › atrophic age-related
- Degeneration, degenerative › macula, macular › dry age-related
- Degeneration, degenerative › macula, macular › nonexudative
Excludes2 — not included here — inherited from Chapter 7
The conditions below are not part of H35.3130, but a patient may have both at the same time. When documentation supports it, H35.3130 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 H35.3130, but a patient may have both at the same time. When documentation supports it, H35.3130 and the excluded code may both be reported.
How long has H35.3130 existed?
H35.3130 first appears in FY2018 (FY2017 is not available, so it may have appeared then).
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.