H35.419 — Lattice degeneration of retina, unspecified eye
H35.419 is a billable, specific ICD-10-CM code for lattice degeneration of retina, unspecified eye. It is valid for submission on a claim.
Excludes1 inherited from the categories above H35.419
These are not written on H35.419, but they bind it: a note on a category applies to every code beneath it. Billing H35.419 with anything listed here is a denial.
Excludes2 inherited from the categories above H35.419
Also inherited, and the opposite of Excludes1: these conditions are not part of H35.419, but a patient can have both, so you may code both.
Risk adjustment
H35.419 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.
Medicare coverage
H35.419 is named in 1 Medicare coverage policy — 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A57637Billing and Coding: Visual Field Examination
Code history
H35.419 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.
Related codes at this level
Codes that share H35.41. If H35.419 is not quite right, the correct code is usually one of these.
Questions about H35.419
- Is H35.419 a billable ICD-10-CM code?
- Yes. H35.419 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does H35.419 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 H35.419?
- H35.419 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above H35.419 (H35.4) and apply to it just the same.