H35.431 — Paving stone degeneration of retina, right eye
Is H35.431 billable?
Yes — H35.431 is billable for FY2027. H35.431 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. H35.431 may be submitted for encounters from October 1, 2026 through September 30, 2027.
H35.431 at a glance
| Code | H35.431 |
|---|---|
| Description | Paving stone degeneration of retina, right eye |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does H35.431 group to?
H35.431 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 H35.431 listed in the Alphabetic Index?
The Alphabetic Index lists these routes under H35.43, the nearest indexed parent of H35.431. Use them to find the family, then select the specific code.
- Degeneration, degenerative › retina › peripheral › paving stone
Excludes1 — never code together — inherited from H35.4
The conditions below can never be reported together with H35.431 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- hereditary retinal degeneration (dystrophy) (H35.5-)
Excludes2 — not included here — inherited from Chapter 7
The conditions below are not part of H35.431, but a patient may have both at the same time. When documentation supports it, H35.431 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 H35.431, but a patient may have both at the same time. When documentation supports it, H35.431 and the excluded code may both be reported.
Excludes2 — not included here — inherited from H35.4
The conditions below are not part of H35.431, but a patient may have both at the same time. When documentation supports it, H35.431 and the excluded code may both be reported.
- peripheral retinal degeneration with retinal break (H33.3-)
How long has H35.431 existed?
H35.431 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.