H35.3131
H35.3131: Nonexudative age-related macular degeneration, bilateral, early dry stage
Billable / specific codeICD-10-CMbilateral
H35.3131 is a billable, specific ICD-10-CM code for nonexudative age-related macular degeneration, bilateral, early dry stage. It is valid for submission on a claim.
Check H35.3131 with the rest of the claim: free scrubber7th character "1": early dry stage
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
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
H35.3131 is named in 21 Medicare coverage policies: 21 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A53008Billing and Coding: Intraocular Bevacizumab
- A53060Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
- A56537Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
- A56551Billing and Coding: Visual Fields Testing
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under H35.313
- H35.3130Nonexudative age-related macular degeneration, bilateral, stage unspecified
- H35.3132Nonexudative age-related macular degeneration, bilateral, intermediate dry stage
- H35.3133Nonexudative age-related macular degeneration, bilateral, advanced atrophic without subfoveal involvement
- H35.3134Nonexudative age-related macular degeneration, bilateral, advanced atrophic with subfoveal involvement