H35.051
H35.051 — Retinal neovascularization, unspecified, right eye
Billable / specific codeICD-10-CMright
H35.051 is a billable, specific ICD-10-CM code for retinal neovascularization, unspecified, right eye. It is valid for submission on a claim.
Risk adjustment
H35.051 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
H35.051 is named in 28 Medicare coverage policies — 28 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52370Billing and Coding: Bevacizumab and biosimilars
- A52451Billing and Coding: Ranibizumab and biosimilars, Aflibercept, Aflibercept HD, Brolucizumab-dbll, Faricimab-svoa, PAVBLU™aflibercept-ayyh, AHZANTIVE®aflibercept-abzv. ENZEEVU™aflibercept-mrbb, OPUVIZ™aflibercept-yszy and YESAFILI™ aflibercept-jbvf
- A53008Billing and Coding: Intraocular Bevacizumab
- A53060Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
Related codes at this level
Codes that share H35.05. If H35.051 is not quite right, the correct code is usually one of these.
Questions about H35.051
- Is H35.051 a billable ICD-10-CM code?
- Yes. H35.051 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does H35.051 sit in the tabular list?
- Diseases of the eye and adnexa (H00-H59), in the block Disorders of choroid and retina (H30-H36).