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FY2027

ICD-10 Code for Retinopathy

Also indexed as (background)

The ICD-10-CM code for retinopathy is H35.00Unspecified background retinopathy. This is the code the Alphabetic Index gives for retinopathy with no further qualifier, valid for FY2027 (October 1, 2026September 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
CoatsH35.02Exudative retinopathynot billable
exudativeH35.02Exudative retinopathynot billable
hypertensiveH35.03Hypertensive retinopathynot billable
of prematurityH35.10Retinopathy of prematurity, unspecifiednot billable
proliferative NECH35.2Other non-diabetic proliferative retinopathynot billable
solarH31.02Solar retinopathynot billable

Retinopathy of prematurity

stage 0H35.11Retinopathy of prematurity, stage 0not billable
stage 1H35.12Retinopathy of prematurity, stage 1not billable
stage 2H35.13Retinopathy of prematurity, stage 2not billable
stage 3H35.14Retinopathy of prematurity, stage 3not billable
stage 4H35.15Retinopathy of prematurity, stage 4not billable
stage 5H35.16Retinopathy of prematurity, stage 5not billable

Retinopathy proliferative NEC

sickle-cellH36.82Proliferative sickle-cell retinopathynot billable
thalassemiaH35.2Other non-diabetic proliferative retinopathynot billable

Retinopathy in

sickle-cell disorders › nonproliferativeH36.81Nonproliferative sickle-cell retinopathynot billable
sickle-cell disorders › proliferativeH36.82Proliferative sickle-cell retinopathynot billable

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