2020 ICD-10-CM Diagnosis Code H35.81

Retinal edema

    2016 2017 2018 2019 2020 Billable/Specific Code
  • H35.81 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2020 edition of ICD-10-CM H35.81 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of H35.81 - other international versions of ICD-10 H35.81 may differ.
Applicable To
  • Retinal cotton wool spots
The following code(s) above H35.81 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 H35.81:
  • H00-H59
    2020 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 Non-Billable/Non-Specific Code
    Type 2 Excludes
    Other retinal disorders
  • H35.8
    ICD-10-CM Diagnosis Code H35.8

    Other specified retinal disorders

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 2 Excludes
    Other specified retinal disorders
Approximate Synonyms
  • Bilateral macular edema
  • Left macular edema
  • Localized retinal edema
  • Macular edema (eye condition)
  • Macular edema of retina of bilateral eyes
  • Macular edema of retina of left eye
  • Macular edema of retina of right eye
  • Macular retinal edema
  • Retinal edema, localized
  • Right macular edema
ICD-10-CM H35.81 is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):
  • 124 Other disorders of the eye with mcc
  • 125 Other disorders of the eye without mcc

Convert H35.81 to ICD-9-CM

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

Diagnosis Index entries containing back-references to H35.81:
  • Congestion, congestive
    • retina H35.81
  • Cotton wool spots H35.81 (retinal)
  • Disorder (of) - see also Disease
    • retina H35.9
      ICD-10-CM Diagnosis Code H35.9

      Unspecified retinal disorder

        2016 2017 2018 2019 2020 Billable/Specific Code
      • edema H35.81
  • Edema, edematous (infectious) (pitting) (toxic) R60.9
    ICD-10-CM Diagnosis Code R60.9

    Edema, unspecified

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Fluid retention NOS

ICD-10-CM Codes Adjacent To H35.81
H35.721 …… right eye
H35.722 …… left eye
H35.723 …… bilateral
H35.729 …… unspecified eye
H35.73 Hemorrhagic detachment of retinal pigment epithelium
H35.731 …… right eye
H35.732 …… left eye
H35.733 …… bilateral
H35.739 …… unspecified eye
H35.8 Other specified retinal disorders
H35.81 Retinal edema
H35.82 Retinal ischemia
H35.89 Other specified retinal disorders
H35.9 Unspecified retinal disorder
H36 Retinal disorders in diseases classified elsewhere
H40 Glaucoma
H40.0 Glaucoma suspect
H40.00 Preglaucoma, unspecified
H40.001 …… right eye
H40.002 …… left eye
H40.003 …… bilateral

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