DxCodebookFY2027 · Oct 1, 2026 – Sep 30, 2027

Category · FY2027

H35 Other retinal disorders

  • Header · not billable
  • Some codes take a 7th character

H35 is not billable. The category heads 175 billable codes in FY2027, grouped under 10 subdivisions.

Index → code

Where it sits

  1. Chapter 7 Diseases of the eye and adnexa (H00-H59)
  2. H30-H36 Disorders of choroid and retina (H30-H36)
  3. H35 Other retinal disorders
Billable codes
175
Subdivisions
10
CC / MCC codes
10 / 0
HCC V28 codes
16
New FY2027
0
Index entries
96

Codes in H35

  1. H35.0
    Background retinopathy and retinal vascular changes
    Header
    Code also 1

    Code also

    • any associated hypertension (I10) I10
  2. H35.00
    Unspecified background retinopathy
    Billable
  3. H35.01
    Changes in retinal vascular appearance
    Header
    Inclusion terms 1

    Inclusion terms

    • Retinal vascular sheathing
  4. H35.011
    Changes in retinal vascular appearance, right eye
    Billable
  5. H35.012
    Changes in retinal vascular appearance, left eye
    Billable
  6. H35.013
    Changes in retinal vascular appearance, bilateral
    Billable
  7. H35.019
    Changes in retinal vascular appearance, unspecified eye
    Billable
  8. H35.02
    Exudative retinopathy
    Header
    Inclusion terms 1

    Inclusion terms

    • Coats retinopathy
  9. H35.021
    Exudative retinopathy, right eye
    Billable
  10. H35.022
    Exudative retinopathy, left eye
    Billable
  11. H35.023
    Exudative retinopathy, bilateral
    Billable
  12. H35.029
    Exudative retinopathy, unspecified eye
    Billable
  13. H35.03
    Hypertensive retinopathy
    Header
  14. H35.031
    Hypertensive retinopathy, right eye
    Billable
  15. H35.032
    Hypertensive retinopathy, left eye
    Billable
  16. H35.033
    Hypertensive retinopathy, bilateral
    Billable
  17. H35.039
    Hypertensive retinopathy, unspecified eye
    Billable
  18. H35.04
    Retinal micro-aneurysms, unspecified
    Header
  19. H35.041
    Retinal micro-aneurysms, unspecified, right eye
    Billable
  20. H35.042
    Retinal micro-aneurysms, unspecified, left eye
    Billable
  21. H35.043
    Retinal micro-aneurysms, unspecified, bilateral
    Billable
  22. H35.049
    Retinal micro-aneurysms, unspecified, unspecified eye
    Billable
  23. H35.05
    Retinal neovascularization, unspecified
    Header
  24. H35.051
    Retinal neovascularization, unspecified, right eye
    Billable
  25. H35.052
    Retinal neovascularization, unspecified, left eye
    Billable
  26. H35.053
    Retinal neovascularization, unspecified, bilateral
    Billable
  27. H35.059
    Retinal neovascularization, unspecified, unspecified eye
    Billable
  28. H35.06
    Retinal vasculitis
    Header
    Inclusion terms 2

    Inclusion terms

    • Eales disease
    • Retinal perivasculitis
  29. H35.061
    Retinal vasculitis, right eye
    Billable
  30. H35.062
    Retinal vasculitis, left eye
    Billable
  31. H35.063
    Retinal vasculitis, bilateral
    Billable
  32. H35.069
    Retinal vasculitis, unspecified eye
    Billable
  33. H35.07
    Retinal telangiectasis
    Header
  34. H35.071
    Retinal telangiectasis, right eye
    Billable
  35. H35.072
    Retinal telangiectasis, left eye
    Billable
  36. H35.073
    Retinal telangiectasis, bilateral
    Billable
  37. H35.079
    Retinal telangiectasis, unspecified eye
    Billable
  38. H35.09
    Other intraretinal microvascular abnormalities
    Billable
    Inclusion terms 1

    Inclusion terms

    • Retinal varices
  39. H35.1
    Retinopathy of prematurity
    Header
  40. H35.10
    Retinopathy of prematurity, unspecified
    Header
    Inclusion terms 1

    Inclusion terms

    • Retinopathy of prematurity NOS
  41. H35.101
    Retinopathy of prematurity, unspecified, right eye
    Billable
  42. H35.102
    Retinopathy of prematurity, unspecified, left eye
    Billable
  43. H35.103
    Retinopathy of prematurity, unspecified, bilateral
    Billable
  44. H35.109
    Retinopathy of prematurity, unspecified, unspecified eye
    Billable
  45. H35.11
    Retinopathy of prematurity, stage 0
    Header
  46. H35.111
    Retinopathy of prematurity, stage 0, right eye
    Billable
  47. H35.112
    Retinopathy of prematurity, stage 0, left eye
    Billable
  48. H35.113
    Retinopathy of prematurity, stage 0, bilateral
    Billable
  49. H35.119
    Retinopathy of prematurity, stage 0, unspecified eye
    Billable
  50. H35.12
    Retinopathy of prematurity, stage 1
    Header
  51. H35.121
    Retinopathy of prematurity, stage 1, right eye
    Billable
  52. H35.122
    Retinopathy of prematurity, stage 1, left eye
    Billable
  53. H35.123
    Retinopathy of prematurity, stage 1, bilateral
    Billable
  54. H35.129
    Retinopathy of prematurity, stage 1, unspecified eye
    Billable
  55. H35.13
    Retinopathy of prematurity, stage 2
    Header
  56. H35.131
    Retinopathy of prematurity, stage 2, right eye
    Billable
  57. H35.132
    Retinopathy of prematurity, stage 2, left eye
    Billable
  58. H35.133
    Retinopathy of prematurity, stage 2, bilateral
    Billable
  59. H35.139
    Retinopathy of prematurity, stage 2, unspecified eye
    Billable
  60. H35.14
    Retinopathy of prematurity, stage 3
    Header
  61. H35.141
    Retinopathy of prematurity, stage 3, right eye
    Billable
  62. H35.142
    Retinopathy of prematurity, stage 3, left eye
    Billable
  63. H35.143
    Retinopathy of prematurity, stage 3, bilateral
    Billable
  64. H35.149
    Retinopathy of prematurity, stage 3, unspecified eye
    Billable
  65. H35.15
    Retinopathy of prematurity, stage 4
    Header
  66. H35.151
    Retinopathy of prematurity, stage 4, right eye
    Billable
  67. H35.152
    Retinopathy of prematurity, stage 4, left eye
    Billable
  68. H35.153
    Retinopathy of prematurity, stage 4, bilateral
    Billable
  69. H35.159
    Retinopathy of prematurity, stage 4, unspecified eye
    Billable
  70. H35.16
    Retinopathy of prematurity, stage 5
    Header
  71. H35.161
    Retinopathy of prematurity, stage 5, right eye
    Billable
  72. H35.162
    Retinopathy of prematurity, stage 5, left eye
    Billable
  73. H35.163
    Retinopathy of prematurity, stage 5, bilateral
    Billable
  74. H35.169
    Retinopathy of prematurity, stage 5, unspecified eye
    Billable
  75. H35.17
    Retrolental fibroplasia
    Header
  76. H35.171
    Retrolental fibroplasia, right eye
    Billable
  77. H35.172
    Retrolental fibroplasia, left eye
    Billable
  78. H35.173
    Retrolental fibroplasia, bilateral
    Billable
  79. H35.179
    Retrolental fibroplasia, unspecified eye
    Billable
  80. H35.2
    Other non-diabetic proliferative retinopathy
    Header
    Inclusion terms 2, Excludes1 1, Excludes2 1

    Inclusion terms

    • Proliferative vitreo-retinopathy
    • Thalassemia proliferative retinopathy

    Excludes1

    • proliferative vitreo-retinopathy with retinal detachment (H33.4-) H33.4

    Excludes2

    • proliferative sickle-cell retinopathy (H36.82-) H36.82
  81. H35.20
    Other non-diabetic proliferative retinopathy, unspecified eye
    Billable
  82. H35.21
    Other non-diabetic proliferative retinopathy, right eye
    Billable
  83. H35.22
    Other non-diabetic proliferative retinopathy, left eye
    Billable
  84. H35.23
    Other non-diabetic proliferative retinopathy, bilateral
    Billable
  85. H35.3
    Degeneration of macula and posterior pole
    Header
  86. H35.30
    Unspecified macular degeneration
    Billable
    Inclusion terms 1

    Inclusion terms

    • Age-related macular degeneration
  87. H35.31
    Nonexudative age-related macular degeneration
    Header
    Inclusion terms 2

    Inclusion terms

    • Atrophic age-related macular degeneration
    • Dry age-related macular degeneration
  88. H35.311
    Nonexudative age-related macular degeneration, right eye +7th: 0 1 2 3 4
    Needs 7th character
  89. H35.312
    Nonexudative age-related macular degeneration, left eye +7th: 0 1 2 3 4
    Needs 7th character
  90. H35.313
    Nonexudative age-related macular degeneration, bilateral +7th: 0 1 2 3 4
    Needs 7th character
  91. H35.319
    Nonexudative age-related macular degeneration, unspecified eye +7th: 0 1 2 3 4
    Needs 7th character
  92. H35.32
    Exudative age-related macular degeneration
    Header
    Inclusion terms 1

    Inclusion terms

    • Wet age-related macular degeneration
  93. H35.321
    Exudative age-related macular degeneration, right eye +7th: 0 1 2 3
    Needs 7th character300 (all 7th characters)
  94. H35.322
    Exudative age-related macular degeneration, left eye +7th: 0 1 2 3
    Needs 7th character300 (all 7th characters)
  95. H35.323
    Exudative age-related macular degeneration, bilateral +7th: 0 1 2 3
    Needs 7th character300 (all 7th characters)
  96. H35.329
    Exudative age-related macular degeneration, unspecified eye +7th: 0 1 2 3
    Needs 7th character300 (all 7th characters)
  97. H35.33
    Angioid streaks of macula
    Billable
  98. H35.34
    Macular cyst, hole, or pseudohole
    Header
  99. H35.341
    Macular cyst, hole, or pseudohole, right eye
    Billable
  100. H35.342
    Macular cyst, hole, or pseudohole, left eye
    Billable
  101. H35.343
    Macular cyst, hole, or pseudohole, bilateral
    Billable
  102. H35.349
    Macular cyst, hole, or pseudohole, unspecified eye
    Billable
  103. H35.35
    Cystoid macular degeneration
    Header
    Excludes1 1

    Excludes1

    • cystoid macular edema following cataract surgery (H59.03-) H59.03
  104. H35.351
    Cystoid macular degeneration, right eye
    Billable
  105. H35.352
    Cystoid macular degeneration, left eye
    Billable
  106. H35.353
    Cystoid macular degeneration, bilateral
    Billable
  107. H35.359
    Cystoid macular degeneration, unspecified eye
    Billable
  108. H35.36
    Drusen (degenerative) of macula
    Header
  109. H35.361
    Drusen (degenerative) of macula, right eye
    Billable
  110. H35.362
    Drusen (degenerative) of macula, left eye
    Billable
  111. H35.363
    Drusen (degenerative) of macula, bilateral
    Billable
  112. H35.369
    Drusen (degenerative) of macula, unspecified eye
    Billable
  113. H35.37
    Puckering of macula
    Header
  114. H35.371
    Puckering of macula, right eye
    Billable
  115. H35.372
    Puckering of macula, left eye
    Billable
  116. H35.373
    Puckering of macula, bilateral
    Billable
  117. H35.379
    Puckering of macula, unspecified eye
    Billable
  118. H35.38
    Toxic maculopathy
    Header
    Code first 1, Use additional code 1

    Code first

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

    Use additional code

    • code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5) T36 T50
  119. H35.381
    Toxic maculopathy, right eye
    Billable
  120. H35.382
    Toxic maculopathy, left eye
    Billable
  121. H35.383
    Toxic maculopathy, bilateral
    Billable
  122. H35.389
    Toxic maculopathy, unspecified eye
    Billable
  123. H35.4
    Peripheral retinal degeneration
    Header
    Excludes1 1, Excludes2 1

    Excludes1

    • hereditary retinal degeneration (dystrophy) (H35.5-) H35.5

    Excludes2

    • peripheral retinal degeneration with retinal break (H33.3-) H33.3
  124. H35.40
    Unspecified peripheral retinal degeneration
    Billable
  125. H35.41
    Lattice degeneration of retina
    Header
    Inclusion terms 1

    Inclusion terms

    • Palisade degeneration of retina
  126. H35.411
    Lattice degeneration of retina, right eye
    Billable
  127. H35.412
    Lattice degeneration of retina, left eye
    Billable
  128. H35.413
    Lattice degeneration of retina, bilateral
    Billable
  129. H35.419
    Lattice degeneration of retina, unspecified eye
    Billable
  130. H35.42
    Microcystoid degeneration of retina
    Header
  131. H35.421
    Microcystoid degeneration of retina, right eye
    Billable
  132. H35.422
    Microcystoid degeneration of retina, left eye
    Billable
  133. H35.423
    Microcystoid degeneration of retina, bilateral
    Billable
  134. H35.429
    Microcystoid degeneration of retina, unspecified eye
    Billable
  135. H35.43
    Paving stone degeneration of retina
    Header
  136. H35.431
    Paving stone degeneration of retina, right eye
    Billable
  137. H35.432
    Paving stone degeneration of retina, left eye
    Billable
  138. H35.433
    Paving stone degeneration of retina, bilateral
    Billable
  139. H35.439
    Paving stone degeneration of retina, unspecified eye
    Billable
  140. H35.44
    Age-related reticular degeneration of retina
    Header
  141. H35.441
    Age-related reticular degeneration of retina, right eye
    Billable
  142. H35.442
    Age-related reticular degeneration of retina, left eye
    Billable
  143. H35.443
    Age-related reticular degeneration of retina, bilateral
    Billable
  144. H35.449
    Age-related reticular degeneration of retina, unspecified eye
    Billable
  145. H35.45
    Secondary pigmentary degeneration
    Header
  146. H35.451
    Secondary pigmentary degeneration, right eye
    Billable
  147. H35.452
    Secondary pigmentary degeneration, left eye
    Billable
  148. H35.453
    Secondary pigmentary degeneration, bilateral
    Billable
  149. H35.459
    Secondary pigmentary degeneration, unspecified eye
    Billable
  150. H35.46
    Secondary vitreoretinal degeneration
    Header
  151. H35.461
    Secondary vitreoretinal degeneration, right eye
    Billable
  152. H35.462
    Secondary vitreoretinal degeneration, left eye
    Billable
  153. H35.463
    Secondary vitreoretinal degeneration, bilateral
    Billable
  154. H35.469
    Secondary vitreoretinal degeneration, unspecified eye
    Billable
  155. H35.5
    Hereditary retinal dystrophy
    Header
    Excludes1 1

    Excludes1

    • dystrophies primarily involving Bruch's membrane (H31.1-) H31.1
  156. H35.50
    Unspecified hereditary retinal dystrophy
    Billable
  157. H35.51
    Vitreoretinal dystrophy
    Billable
  158. H35.52
    Pigmentary retinal dystrophy
    Billable
    Inclusion terms 3

    Inclusion terms

    • Albipunctate retinal dystrophy
    • Retinitis pigmentosa
    • Tapetoretinal dystrophy
  159. H35.53
    Other dystrophies primarily involving the sensory retina
    Billable
    Inclusion terms 1

    Inclusion terms

    • Stargardt's disease
  160. H35.54
    Dystrophies primarily involving the retinal pigment epithelium
    Billable
    Inclusion terms 1

    Inclusion terms

    • Vitelliform retinal dystrophy
  161. H35.6
    Retinal hemorrhage
    Header
  162. H35.60
    Retinal hemorrhage, unspecified eye
    Billable
  163. H35.61
    Retinal hemorrhage, right eye
    Billable
  164. H35.62
    Retinal hemorrhage, left eye
    Billable
  165. H35.63
    Retinal hemorrhage, bilateral
    Billable
  166. H35.7
    Separation of retinal layers
    Header
    Excludes1 2

    Excludes1

    • retinal detachment (serous) (H33.2-) H33.2
    • rhegmatogenous retinal detachment (H33.0-) H33.0
  167. H35.70
    Unspecified separation of retinal layers
    BillableCC
  168. H35.71
    Central serous chorioretinopathy
    Header
  169. H35.711
    Central serous chorioretinopathy, right eye
    Billable
  170. H35.712
    Central serous chorioretinopathy, left eye
    Billable
  171. H35.713
    Central serous chorioretinopathy, bilateral
    Billable
  172. H35.719
    Central serous chorioretinopathy, unspecified eye
    Billable
  173. H35.72
    Serous detachment of retinal pigment epithelium
    Header
  174. H35.721
    Serous detachment of retinal pigment epithelium, right eye
    BillableCC
  175. H35.722
    Serous detachment of retinal pigment epithelium, left eye
    BillableCC
  176. H35.723
    Serous detachment of retinal pigment epithelium, bilateral
    BillableCC
  177. H35.729
    Serous detachment of retinal pigment epithelium, unspecified eye
    BillableCC
  178. H35.73
    Hemorrhagic detachment of retinal pigment epithelium
    Header
  179. H35.731
    Hemorrhagic detachment of retinal pigment epithelium, right eye
    BillableCC
  180. H35.732
    Hemorrhagic detachment of retinal pigment epithelium, left eye
    BillableCC
  181. H35.733
    Hemorrhagic detachment of retinal pigment epithelium, bilateral
    BillableCC
  182. H35.739
    Hemorrhagic detachment of retinal pigment epithelium, unspecified eye
    BillableCC
  183. H35.8
    Other specified retinal disorders
    Header
    Excludes2 1

    Excludes2

    • retinal hemorrhage (H35.6-) H35.6
  184. H35.81
    Retinal edema
    Billable
    Inclusion terms 1

    Inclusion terms

    • Retinal cotton wool spots
  185. H35.82
    Retinal ischemia
    BillableCC
  186. H35.89
    Other specified retinal disorders
    Billable
  187. H35.9
    Unspecified retinal disorder
    Billable

CC/MCC: as a secondary diagnosis, unless the principal diagnosis is on the code’s PDX exclusion list (MS-DRG v44 Appendix C; list on the code card).

Sources of each column. Rows marked +7th need a 7th character: pick one to build the full code; its code card has its own flags.

Instructions

At H35

Excludes2

Notes that also apply

Chapter 7 instructions (Notes 1, Excludes2 11): printed on the chapter 7 page.

7th characters

7th characters for H35.31 defined at H35.31

One of the following 7th characters is to be assigned to codes in subcategory H35.31 to designate the stage of the disease:

7th characters for H35.31
7thMeaning (NCHS)
0stage unspecified
1early dry stage
2intermediate dry stage
3advanced atrophic without subfoveal involvement
4advanced atrophic with subfoveal involvement

7th characters for H35.32 defined at H35.32

One of the following 7th characters is to be assigned to codes in subcategory H35.32 to designate the stage of the disease:

7th characters for H35.32
7thMeaning (NCHS)
0stage unspecified
1with active choroidal neovascularization
2with inactive choroidal neovascularization
3with inactive scar

A code that takes a 7th character is invalid without it; the placeholder X fills a code shorter than 6 characters (Official Guidelines I.A.5). How 7th characters work.

Index entries

  • Retinopathy (background) → H35.00
  • Sheathing, retinal vessels → H35.01-
  • Eales' disease → H35.06-
  • Perivasculitis, retinal → H35.06-
  • Fibroplasia, retrolental → H35.17-
  • Kuhnt-Junius degeneration → H35.32-
  • Angioid streaks (choroid) (macula) (retina) → H35.33
  • Best's disease → H35.50
  • Chorioretinopathy, central serous → H35.71-
  • Cotton wool spots (retinal) → H35.81
  • Phakoma → H35.89
  • Sclerosis, scleroticretina (senile) (vascular) → H35.00
  • Retinopathy (background)Coats → H35.02-
  • Retinopathy (background)exudative → H35.02-
  • Retinopathy (background)hypertensive → H35.03-
  • Neovascularizationretina → H35.05-
  • Vasculitisretina → H35.06-
  • Telangiectasia, telangiectasis (verrucous)juxtafoveal → H35.07-
  • Telangiectasia, telangiectasis (verrucous)macular → H35.07-
  • Telangiectasia, telangiectasis (verrucous)parafoveal → H35.07-
  • Telangiectasia, telangiectasis (verrucous)retinal (idiopathic) (juxtafoveal) (macular) (parafoveal) → H35.07-
  • Varix (lower limb)retina → H35.09
  • Retinopathy (background)of prematurity → H35.10-
  • Retinopathy (background)proliferative NEC → H35.2-
  • Degeneration, degenerativemacula, macular (acquired) (age-related) (senile) → H35.30
  • Degeneration, degenerativeKuhnt-Junius → H35.32-
  • Streak(s)macula, angioid → H35.33
  • Hole (round)macula → H35.34-
  • Amaurosis (acquired) (congenital)Leber's congenital → H35.50
  • Dystrophy, dystrophiaretinal (hereditary) → H35.50
  • Leber'scongenital amaurosis → H35.50
  • Dystrophy, dystrophiavitreoretinal → H35.51
  • Retinitispigmentosa → H35.52
  • Dystrophy, dystrophiatapetoretinal → H35.54
  • Hemorrhage, hemorrhagic (concealed)retina, retinal (vessels) → H35.6-
  • Congestion, congestiveretina → H35.81
  • Edema, edematous (infectious) (pitting) (toxic)macula → H35.81
  • Edema, edematous (infectious) (pitting) (toxic)retina → H35.81
  • Atrophy, atrophic (of)retina, retinal (postinfectional) → H35.89
  • Chalcosisretina → H35.89

56 more, longer entries are not listed; the search box finds them by word.

NCHS Alphabetic Index. Index first, then the Tabular List.

Hierarchy