Is H35.38 a billable ICD-10-CM code?

No. H35.38 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does H35.38 sit in the tabular list?

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

H35.38

H35.38 — Toxic maculopathy

Non-billable headerICD-10-CM

H35.38 is a non-billable header ICD-10-CM code for toxic maculopathy. It cannot be billed on its own: choose one of the more specific child codes below.

Code first

The underlying condition must be sequenced before this code.

poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4)

Use additional code

Add a secondary code to capture the detail described below.

code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)

Risk adjustment

H35.38 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 H35.38

4 child codes. Green means billable.

Related codes at this level

Codes that share H35.3. If H35.38 is not quite right, the correct code is usually one of these.

Questions about H35.38

Is H35.38 a billable ICD-10-CM code?: No. H35.38 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does H35.38 sit in the tabular list?: Diseases of the eye and adnexa (H00-H59), in the block Disorders of choroid and retina (H30-H36).