H35

H35: Other retinal disorders

Non-billable headerICD-10-CM

H35 is a non-billable header ICD-10-CM code for other retinal disorders. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes2: not included here, but may coexist

The excluded condition is not part of this code, but a patient can have both. You may code both.

diabetic retinal disorders (E08.311-E08.359, E09.311-E09.359, E10.311-E10.359, E11.311-E11.359, E13.311-E13.359)

Other codes that can never be billed with H35

Their own Excludes1 notes name this code, so the conflict is not listed above.

H33Retinal detachments and breaks
H33.1Retinoschisis and retinal cysts
H33.2Serous retinal detachment
H35.4Peripheral retinal degeneration
H36Retinal disorders in diseases classified elsewhere
Q15Other congenital malformations of eye

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead H35

10 child codes. Green means billable.