Is H35.35 a billable ICD-10-CM code?

No. H35.35 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does H35.35 sit in the tabular list?

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

What cannot be coded together with H35.35?

H35.35 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter.

H35.35

H35.35 — Cystoid macular degeneration

Non-billable headerICD-10-CM

H35.35 is a non-billable header ICD-10-CM code for cystoid macular degeneration. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

cystoid macular edema following cataract surgery (H59.03-)

Excludes2 inherited from the categories above H35.35

Also inherited, and the opposite of Excludes1: these conditions are not part of H35.35, but a patient can have both, so you may code both.

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)

Risk adjustment

H35.35 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 history

H35.35 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Code to one of these instead H35.35

4 child codes. Green means billable.

Related codes at this level

Codes that share H35.3. If H35.35 is not quite right, the correct code is usually one of these.

Questions about H35.35

Is H35.35 a billable ICD-10-CM code?: No. H35.35 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does H35.35 sit in the tabular list?: Diseases of the eye and adnexa (H00-H59), in the block Disorders of choroid and retina (H30-H36).
What cannot be coded together with H35.35?: H35.35 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter.