Is H35.313 a billable ICD-10-CM code?

No. H35.313 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does H35.313 sit in the tabular list?

Diseases of the eye and adnexa (H00-H59), in the block Disorders of choroid and retina (H30-H36).

H35.313

H35.313 — Nonexudative age-related macular degeneration, bilateral

Non-billable headerICD-10-CMbilateral

H35.313 is a non-billable header ICD-10-CM code for nonexudative age-related macular degeneration, bilateral. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.

This code requires a 7th character

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

0: stage unspecified
1: early dry stage
2: intermediate dry stage
3: advanced atrophic without subfoveal involvement
4: advanced atrophic with subfoveal involvement

Risk adjustment

H35.313 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.

Code to one of these instead H35.313

5 child codes. Green means billable.

Related codes at this level

Codes that share H35.31. If H35.313 is not quite right, the correct code is usually one of these.

Questions about H35.313

Is H35.313 a billable ICD-10-CM code?: No. H35.313 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does H35.313 sit in the tabular list?: Diseases of the eye and adnexa (H00-H59), in the block Disorders of choroid and retina (H30-H36).