MCMedicalCodingSoftware
H35.50

H35.50: Unspecified hereditary retinal dystrophy

Billable / specific codeICD-10-CM

H35.50 is a billable, specific ICD-10-CM code for unspecified hereditary retinal dystrophy. It is valid for submission on a claim.

Check H35.50 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above H35.50

A category’s note binds every code beneath it.

Written on H35.5: Hereditary retinal dystrophy

  • dystrophies primarily involving Bruch's membrane (H31.1-)

Excludes2 inherited from the categories above H35.50

Not part of this code, but both may be coded when both are present.

Written on H35: Other retinal disorders

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

H35.50 is named in 18 Medicare coverage policies: 18 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

  • A53060Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
  • A56419Billing and Coding: Voretigene Neparvovec-rzyl (Luxturna®)
  • A56537Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
  • A56551Billing and Coding: Visual Fields Testing

Alphabetic index entries that lead here

  • Best's disease
  • Amaurosis›Leber's congenital
  • Dystrophy, dystrophia›retinal(hereditary)
  • Leber's›congenital amaurosis

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under H35.5

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.