ICD-10 Code for Retinopathy

Also indexed as (background)

The ICD-10-CM code for retinopathy is H35.00 — Unspecified background retinopathy. This is the code the Alphabetic Index gives for retinopathy with no further qualifier, valid for FY2027 (October 1, 2026 – September 30, 2027).

BillableUnspecified

H35.00 is billable but unspecified. If the documentation names a type, site or cause, one of the more specific codes below is likely expected.

Which retinopathy code should you use?

The Alphabetic Index lists 16 codes under Retinopathy. Which one applies depends on the qualifier documented in the record — the type, site, cause, or associated condition. Find the qualifier below, then verify the code in the Tabular List before using it.

By type

arterioscleroticI70.8Atherosclerosis of other arteries
atheroscleroticI70.8Atherosclerosis of other arteries
CoatsH35.02Not billableExudative retinopathy
exudativeH35.02Not billableExudative retinopathy
hypertensiveH35.03Not billableHypertensive retinopathy
of prematurityH35.10Not billableRetinopathy of prematurity, unspecified
proliferative NECH35.2Not billableOther non-diabetic proliferative retinopathy
solarH31.02Not billableSolar retinopathy

Retinopathy of prematurity

stage 0H35.11Not billableRetinopathy of prematurity, stage 0
stage 1H35.12Not billableRetinopathy of prematurity, stage 1
stage 2H35.13Not billableRetinopathy of prematurity, stage 2
stage 3H35.14Not billableRetinopathy of prematurity, stage 3
stage 4H35.15Not billableRetinopathy of prematurity, stage 4
stage 5H35.16Not billableRetinopathy of prematurity, stage 5

Retinopathy proliferative NEC

sickle-cellH36.82Not billableProliferative sickle-cell retinopathy
thalassemiaH35.2Not billableOther non-diabetic proliferative retinopathy

Retinopathy in

sickle-cell disorders › nonproliferativeH36.81Not billableNonproliferative sickle-cell retinopathy
sickle-cell disorders › proliferativeH36.82Not billableProliferative sickle-cell retinopathy

Index terms and codes are reproduced from the official ICD-10-CM FY2027 release. The Alphabetic Index is a finding aid — a code must always be verified in the Tabular List before it is reported. Data sources