H35.3291 — Exudative age-related macular degeneration, unspecified eye, with active choroidal neovascularization
Is H35.3291 billable?
Yes, but H35.3291 is an unspecified code. H35.3291 is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, H35.3291 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 H35.3291 — the more specific alternatives are listed below.
More specific alternatives
- H35.3211Exudative age-related macular degeneration, right eye, with active choroidal neovascularization
- H35.3221Exudative age-related macular degeneration, left eye, with active choroidal neovascularization
- H35.3231Exudative age-related macular degeneration, bilateral, with active choroidal neovascularization
H35.3291 at a glance
| Code | H35.3291 |
|---|---|
| Description | Exudative age-related macular degeneration, unspecified eye, with active choroidal neovascularization |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
| 7th character "1" | with active choroidal neovascularization |
What does the 7th character "1" mean in H35.3291?
In H35.3291, the 7th character 1 means with active choroidal neovascularization. The 7th character is required for H35.3291 to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
Which MS-DRGs does H35.3291 group to?
H35.3291 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 H35.3291 listed in the Alphabetic Index?
The Alphabetic Index lists these routes under H35.32, the nearest indexed parent of H35.3291. Use them to find the family, then select the specific code.
- Kuhnt-Junius degeneration
- Degeneration, degenerative › Kuhnt-Junius
- Degeneration, degenerative › macula, macular › exudative
- Degeneration, degenerative › macula, macular › wet age-related
- Degeneration, degenerative › retina › Kuhnt-Junius
Excludes2 — not included here — inherited from Chapter 7
The conditions below are not part of H35.3291, but a patient may have both at the same time. When documentation supports it, H35.3291 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 H35.3291, but a patient may have both at the same time. When documentation supports it, H35.3291 and the excluded code may both be reported.
How long has H35.3291 existed?
H35.3291 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.