2018 ICD-10-CM Diagnosis Code H35

Other retinal disorders

Type 2 Excludes
Type 2 Excludes Help
A type 2 excludes note represents "not included here". A type 2 excludes note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When a type 2 excludes note appears under a code it is acceptable to use both the code (H35) and the excluded code together.
  • diabetic retinal disorders (
    ICD-10-CM Diagnosis Code E08.311

    Diabetes mellitus due to underlying condition with unspecified diabetic retinopathy with macular edema

      2016 2017 2018 Billable/Specific Code Manifestation Code
    E08.311-
    ICD-10-CM Diagnosis Code E08.359

    Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy without macular edema

      2016 2017 - Deleted Code 2017 - New Code 2018 Non-Billable/Non-Specific Code
    E08.359
    ,
    ICD-10-CM Diagnosis Code E09.311

    Drug or chemical induced diabetes mellitus with unspecified diabetic retinopathy with macular edema

      2016 2017 2018 Billable/Specific Code
    E09.311-
    ICD-10-CM Diagnosis Code E09.359

    Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy without macular edema

      2016 2017 - Deleted Code 2017 - New Code 2018 Non-Billable/Non-Specific Code
    E09.359
    ,
    ICD-10-CM Diagnosis Code E10.311

    Type 1 diabetes mellitus with unspecified diabetic retinopathy with macular edema

      2016 2017 2018 Billable/Specific Code
    E10.311-
    ICD-10-CM Diagnosis Code E10.359

    Type 1 diabetes mellitus with proliferative diabetic retinopathy without macular edema

      2016 2017 - Deleted Code 2017 - New Code 2018 Non-Billable/Non-Specific Code
    E10.359
    ,
    ICD-10-CM Diagnosis Code E11.311

    Type 2 diabetes mellitus with unspecified diabetic retinopathy with macular edema

      2016 2017 2018 Billable/Specific Code
    E11.311-
    ICD-10-CM Diagnosis Code E11.359

    Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema

      2016 2017 - Deleted Code 2017 - New Code 2018 Non-Billable/Non-Specific Code
    E11.359
    ,
    ICD-10-CM Diagnosis Code E13.311

    Other specified diabetes mellitus with unspecified diabetic retinopathy with macular edema

      2016 2017 2018 Billable/Specific Code
    E13.311-
    ICD-10-CM Diagnosis Code E13.359

    Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema

      2016 2017 - Deleted Code 2017 - New Code 2018 Non-Billable/Non-Specific Code
    E13.359
    )
The following code(s) above H35 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to H35:
  • H00-H59
    2018 ICD-10-CM Range H00-H59

    Diseases of the eye and adnexa

    Note
    • Use an external cause code following the code for the eye condition, if applicable, to identify the cause of the eye condition
    Type 2 Excludes
    • certain conditions originating in the perinatal period (P04-P96)
    • certain infectious and parasitic diseases (A00-B99)
    • complications of pregnancy, childbirth and the puerperium (O00-O9A)
    • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
    • diabetes mellitus related eye conditions (E09.3-, E10.3-, E11.3-, E13.3-)
    • endocrine, nutritional and metabolic diseases (E00-E88)
    • injury (trauma) of eye and orbit (S05.-)
    • injury, poisoning and certain other consequences of external causes (S00-T88)
    • neoplasms (C00-D49)
    • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
    • syphilis related eye disorders (A50.01, A50.3-, A51.43, A52.71)
    Diseases of the eye and adnexa
Code History
ICD-10-CM Codes Adjacent To H35
H34.8322 …… stable
H34.833 Tributary (branch) retinal vein occlusion, bilateral
H34.8330 …… with macular edema
H34.8331 …… with retinal neovascularization
H34.8332 …… stable
H34.839 Tributary (branch) retinal vein occlusion, unspecified eye
H34.8390 …… with macular edema
H34.8391 …… with retinal neovascularization
H34.8392 …… stable
H34.9 Unspecified retinal vascular occlusion
H35 Other retinal disorders
H35.0 Background retinopathy and retinal vascular changes
H35.00 Unspecified background retinopathy
H35.01 Changes in retinal vascular appearance
H35.011 …… right eye
H35.012 …… left eye
H35.013 …… bilateral
H35.019 …… unspecified eye
H35.02 Exudative retinopathy
H35.021 …… right eye
H35.022 …… left eye

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.