H35.0

H35.0: Background retinopathy and retinal vascular changes

Non-billable headerICD-10-CM

H35.0 is a non-billable header ICD-10-CM code for background retinopathy and retinal vascular changes. It cannot be billed on its own: choose one of the more specific child codes below.

Code also

Both codes may be needed to describe the encounter fully. Sequencing depends on the reason for the visit.

any associated hypertension (I10)

Excludes2 inherited from the categories above H35.0

Not part of this code, but both may be coded when both are present.

Written on H35: Other retinal disorders

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 H35.0

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

H36Retinal disorders in diseases classified elsewhere

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 H35.0

9 child codes. Green means billable.