2021

  1. ICD-10-CM Codes
    2. ›
  2. H00-H59 Diseases of the eye and adnexa
    3. ›
  3. H30-H36 Disorders of choroid and retina
    4. ›
  4. H35- Other retinal disorders
    5. ›
  5. 2021 ICD-10-CM Diagnosis Code H35.4

2021 ICD-10-CM Diagnosis Code H35.4

Peripheral retinal degeneration

    2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
  • H35.4 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 H35.4 became effective on October 1, 2020.
  • This is the American ICD-10-CM version of H35.4 - other international versions of ICD-10 H35.4 may differ.
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as H35.4. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • hereditary retinal degeneration (dystrophy) (
    ICD-10-CM Diagnosis Code H35.5

    Hereditary retinal dystrophy

      2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • dystrophies primarily involving Bruch's membrane (H31.1-)
    H35.5-
    )
  • peripheral retinal degeneration with retinal break (
    ICD-10-CM Diagnosis Code H33.3

    Retinal breaks without detachment

      2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • chorioretinal scars after surgery for detachment (H59.81-)
    • peripheral retinal degeneration without break (H35.4-)
    H33.3-
    )
The following code(s) above H35.4 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 H35.4:
  • H00-H59
    2021 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 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
Code annotations containing back-references to H35.4:
  • Type 1 Excludes: H33.3
    ICD-10-CM Diagnosis Code H33.3

    Retinal breaks without detachment

      2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • chorioretinal scars after surgery for detachment (H59.81-)
    • peripheral retinal degeneration without break (H35.4-)
ICD-10-CM Codes Adjacent To H35.4
H35.37 Puckering of macula
H35.371 …… right eye
H35.372 …… left eye
H35.373 …… bilateral
H35.379 …… unspecified eye
H35.38 Toxic maculopathy
H35.381 …… right eye
H35.382 …… left eye
H35.383 …… bilateral
H35.389 …… unspecified eye
H35.4 Peripheral retinal degeneration
H35.40 Unspecified peripheral retinal degeneration
H35.41 Lattice degeneration of retina
H35.411 …… right eye
H35.412 …… left eye
H35.413 …… bilateral
H35.419 …… unspecified eye
H35.42 Microcystoid degeneration of retina
H35.421 …… right eye
H35.422 …… left eye
H35.423 …… bilateral

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

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