H35.3290: Exudative age-related macular degeneration, unspecified eye, stage unspecified
H35.3290 is a billable, specific ICD-10-CM code for exudative age-related macular degeneration, unspecified eye, stage unspecified. It is valid for submission on a claim.
Check H35.3290 with the rest of the claim: free scrubber7th character "0": stage unspecified
One of the following 7th characters is to be assigned to codes in subcategory H35.32 to designate the stage of the disease:
- 0
- stage unspecified
- 1
- with active choroidal neovascularization
- 2
- with inactive choroidal neovascularization
- 3
- with inactive scar
Risk adjustment
H35.3290 risk-adjusts. Under the CMS-HCC V28 model it maps to these categories:
- HCC 300 Exudative Macular Degeneration0.596 RAF
- HCC 300 Exudative Macular Degeneration0.596 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Medicare coverage
H35.3290 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A57637Billing and Coding: Visual Field Examination
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under H35.329
- H35.3291Exudative age-related macular degeneration, unspecified eye, with active choroidal neovascularization
- H35.3292Exudative age-related macular degeneration, unspecified eye, with inactive choroidal neovascularization
- H35.3293Exudative age-related macular degeneration, unspecified eye, with inactive scar