2022 ICD-10-CM Diagnosis Code H35.0

Background retinopathy and retinal vascular changes

    2016 2017 2018 2019 2020 2021 2022 Non-Billable/Non-Specific Code
  • H35.0 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • The 2022 edition of ICD-10-CM H35.0 became effective on October 1, 2021.
  • This is the American ICD-10-CM version of H35.0 - other international versions of ICD-10 H35.0 may differ.
Code Also
Code Also Help
A code also note instructs that 2 codes may be required to fully describe a condition but the sequencing of the two codes is discretionary, depending on the severity of the conditions and the reason for the encounter.
  • any associated hypertension (
    ICD-10-CM Diagnosis Code I10

    Essential (primary) hypertension

      2016 2017 2018 2019 2020 2021 2022 Billable/Specific Code Questionable As Admission Dx
    Includes
    • high blood pressure
    • hypertension (arterial) (benign) (essential) (malignant) (primary) (systemic)
    Type 1 Excludes
    • hypertensive disease complicating pregnancy, childbirth and the puerperium (O10-O11, O13-O16)
    Type 2 Excludes
    • essential (primary) hypertension involving vessels of brain (I60-I69)
    • essential (primary) hypertension involving vessels of eye (H35.0-)
    I10
    )
The following code(s) above H35.0 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 H35.0:
  • H00-H59
    2022 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
  • H35
    ICD-10-CM Diagnosis Code H35

    Other retinal disorders

      2016 2017 2018 2019 2020 2021 2022 Non-Billable/Non-Specific Code
    Type 2 Excludes
    Other retinal disorders
Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
  • 2021 (effective 10/1/2020): No change
  • 2022 (effective 10/1/2021): No change
Code annotations containing back-references to H35.0:
  • Type 1 Excludes: H36
    ICD-10-CM Diagnosis Code H36

    Retinal disorders in diseases classified elsewhere

      2016 2017 2018 2019 2020 2021 2022 Billable/Specific Code Manifestation Code
    Code First
    • underlying disease, such as:
    • lipid storage disorders (E75.-)
    • sickle-cell disorders (D57.-)
    Type 1 Excludes
  • Type 2 Excludes: I72
    , I86
    , I10
    , I15
    ICD-10-CM Diagnosis Code I72

    Other aneurysm

      2016 2017 2018 2019 2020 2021 2022 Non-Billable/Non-Specific Code
    Includes
    • aneurysm (cirsoid) (false) (ruptured)
    Type 2 Excludes
    • acquired aneurysm (I77.0)
    • aneurysm (of) aorta (I71.-)
    • aneurysm (of) arteriovenous NOS (Q27.3-)
    • carotid artery dissection (I77.71)
    • cerebral (nonruptured) aneurysm (I67.1)
    • coronary aneurysm (I25.4)
    • coronary artery dissection (I25.42)
    • dissection of artery NEC (I77.79)
    • dissection of precerebral artery, congenital (nonruptured) (Q28.1)
    • heart aneurysm (I25.3)
    • iliac artery dissection (I77.72)
    • precerebral artery, congential (nonruptured) (Q28.1)
    • pulmonary artery aneurysm (I28.1)
    • renal artery dissection (I77.73)
    • retinal aneurysm (H35.0)
    • ruptured cerebral aneurysm (I60.7)
    • varicose aneurysm (I77.0)
    • vertebral artery dissection (I77.74)
    ICD-10-CM Diagnosis Code I86

    Varicose veins of other sites

      2016 2017 2018 2019 2020 2021 2022 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • varicose veins of unspecified site (I83.9-)
    Type 2 Excludes
    ICD-10-CM Diagnosis Code I10

    Essential (primary) hypertension

      2016 2017 2018 2019 2020 2021 2022 Billable/Specific Code Questionable As Admission Dx
    Includes
    • high blood pressure
    • hypertension (arterial) (benign) (essential) (malignant) (primary) (systemic)
    Type 1 Excludes
    • hypertensive disease complicating pregnancy, childbirth and the puerperium (O10-O11, O13-O16)
    Type 2 Excludes
    • essential (primary) hypertension involving vessels of brain (I60-I69)
    • essential (primary) hypertension involving vessels of eye (H35.0-)
    ICD-10-CM Diagnosis Code I15

    Secondary hypertension

      2016 2017 2018 2019 2020 2021 2022 Non-Billable/Non-Specific Code
    Code Also
    • underlying condition
    Type 1 Excludes
    • postprocedural hypertension (I97.3)
    Type 2 Excludes
    • secondary hypertension involving vessels of brain (I60-I69)
    • secondary hypertension involving vessels of eye (H35.0-)
ICD-10-CM Codes Adjacent To H35.0
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
H35.023 …… bilateral

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