Is H35.7 a billable ICD-10-CM code?

No. H35.7 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does H35.7 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 H35.7?

H35.7 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

H35.7

H35.7 — Separation of retinal layers

Non-billable headerICD-10-CM

H35.7 is a non-billable header ICD-10-CM code for separation of retinal layers. 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.

retinal detachment (serous) (H33.2-)
rhegmatogenous retinal detachment (H33.0-)

Other codes that can never be billed with H35.7

These codes carry an Excludes1 note pointing at H35.7. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading H35.7 alone.

H33Retinal detachments and breaks
H33.2Serous retinal detachment

Risk adjustment

H35.7 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 H35.7

4 child codes. Green means billable.

Related codes at this level

Codes that share H35. If H35.7 is not quite right, the correct code is usually one of these.

Questions about H35.7

Is H35.7 a billable ICD-10-CM code?: No. H35.7 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does H35.7 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 H35.7?: H35.7 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.