ICDcodes.org
FY2027

H35.38 — Toxic maculopathy

Not billable

Is H35.38 billable?

No — H35.38 is a non-billable header code. H35.38 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 H35.38.

H35.38 at a glance

CodeH35.38
DescriptionToxic maculopathy
BillableNo — header code
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

How is H35.38 listed in the Alphabetic Index?

These are the routes through the Alphabetic Index that lead to H35.38. They show the wording a clinician may have documented, which often differs from the Tabular description.

  • Degeneration, degenerative › macula, macular › toxic

Code first

The underlying condition below must be sequenced before H35.38. H35.38 describes a manifestation and cannot be the principal or first-listed diagnosis.

  • poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4)

Use additional code

Report an additional code alongside H35.38 to fully describe the condition. H35.38 is sequenced first.

  • code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)

Excludes2 — not included here — inherited from Chapter 7

The conditions below are not part of H35.38, but a patient may have both at the same time. When documentation supports it, H35.38 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 H35.38, but a patient may have both at the same time. When documentation supports it, H35.38 and the excluded code may both be reported.

What codes fall under H35.38? (4)

How long has H35.38 existed?

H35.38 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 H35.3 family? (8)