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ICD-10-CM Codes
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H00-H59
Diseases of the eye and adnexa
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H30-H36
Disorders of choroid and retina
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H35-
Other retinal disorders
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2021 ICD-10-CM Diagnosis Code H35.1
2021 ICD-10-CM Diagnosis Code H35.1
Retinopathy of prematurity
2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
- H35.1 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
- The 2021 edition of ICD-10-CM H35.1 became effective on October 1, 2020.
- This is the American ICD-10-CM version of H35.1 - other international versions of ICD-10 H35.1 may differ.
The following code(s) above
H35.1 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
H35.1:
Clinical Information
- A bilateral retinopathy characterized by neovascularization, scarring, retinal detachment, and eventually blindness. It may be mild or severe. It occurs in babies born prematurely. Causes include oxygen toxicity and hypoxia.
- A bilateral retinopathy occurring in premature infants treated with excessively high concentrations of oxygen, characterized by vascular dilatation, proliferation, and tortuosity, edema, and retinal detachment, with ultimate conversion of the retina into a fibrous mass that can be seen as a dense retrolental membrane. Usually growth of the eye is arrested and may result in microophthalmia, and blindness may occur. (Dorland, 27th ed)
- Bilateral retinopathy typically occurring in premature infants treated with high concentrations of oxygen; characterized by vascular dilation, proliferation, and tortuosity, edema, and retinal detachment with ultimate conversion of the retina into a fibrous mass; usually growth of the eye is arrested and may result in microophthalmia; blindness may occur.
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
ICD-10-CM Codes Adjacent To H35.1
H35.09 Other intraretinal microvascular abnormalities
H35.1
Retinopathy of prematurity
H35.10 Retinopathy of prematurity, unspecified
H35.11 Retinopathy of prematurity, stage 0
Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.