H35.383 — Toxic maculopathy, bilateral
Is H35.383 billable?
Yes — H35.383 is billable for FY2027. H35.383 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. H35.383 may be submitted for encounters from October 1, 2026 through September 30, 2027.
H35.383 at a glance
| Code | H35.383 |
|---|---|
| Description | Toxic maculopathy, bilateral |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does H35.383 group to?
H35.383 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 H35.383 listed in the Alphabetic Index?
The Alphabetic Index lists these routes under H35.38, the nearest indexed parent of H35.383. Use them to find the family, then select the specific code.
- Degeneration, degenerative › macula, macular › toxic
Code first — inherited from H35.38
The underlying condition below must be sequenced before H35.383. H35.383 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 — inherited from H35.38
Report an additional code alongside H35.383 to fully describe the condition. H35.383 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 H35.383, but a patient may have both at the same time. When documentation supports it, H35.383 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 H35.383, but a patient may have both at the same time. When documentation supports it, H35.383 and the excluded code may both be reported.
How long has H35.383 existed?
H35.383 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.