FY2022
Effective from
- Code-level rules changed
Background retinopathy and retinal vascular changes
Category — select a more specific code
CDC/NCHS · FY2022any associated hypertension (I10)
For US diagnosis claims covered by HIPAA, ICD-10-CM is required from October 1, 2015.
Use the service date for outpatient/professional claims and the discharge date for hospital inpatient claims. Earlier encounters use ICD-9-CM; each individual code must also be valid for the applicable date.
Official coding guidelines → · CMS ↗First observed · 2015-10-01
Latest recorded change · FY2022
Effective from
Background retinopathy and retinal vascular changes
Category — select a more specific code
CDC/NCHS · FY2022| All editions | Effective from | Code history |
|---|---|---|
| FY2016 | 2015-10-01 | First observed |
| FY2017 | 2016-10-01 | No tabular change |
| FY2018 | 2017-10-01 | No tabular change |
| FY2019 | 2018-10-01 | No tabular change |
| FY2020 | 2019-10-01 | No tabular change |
| FY2020 · April | 2020-04-01 | No tabular change |
| FY2021 | 2020-10-01 | No tabular change |
| FY2021 · 01-01 | 2021-01-01 | No tabular change |
| FY2022 | 2021-10-01 | Code-level rules changed |
| FY2022 · 04-01 | 2022-04-01 | No tabular change |
| FY2023 | 2022-10-01 | No tabular change |
| FY2023 · 04-01 | 2023-04-01 | No tabular change |
| FY2024 | 2023-10-01 | No tabular change |
| FY2024 · 04-01 | 2024-04-01 | No tabular change |
| FY2025 | 2024-10-01 | No tabular change |
| FY2025 · 04-01 | 2025-04-01 | No tabular change |
| FY2026 | 2025-10-01 | No tabular change |
| FY2026 · April | 2026-04-01 | No tabular change |
| FY2027 | 2026-10-01 | No tabular change |
any associated hypertension (I10)
Use an external cause code following the code for the eye condition, if applicable, to identify the cause of the eye condition
H35.00Unspecified background retinopathyBillable / specificH35.01Changes in retinal vascular appearanceCategory · further specificity requiredH35.02Exudative retinopathyCategory · further specificity requiredH35.03Hypertensive retinopathyCategory · further specificity requiredH35.04Retinal micro-aneurysms, unspecifiedCategory · further specificity requiredH35.05Retinal neovascularization, unspecifiedCategory · further specificity requiredH35.06Retinal vasculitisCategory · further specificity requiredH35.07Retinal telangiectasisCategory · further specificity requiredH35.09Other intraretinal microvascular abnormalitiesBillable / specificOther entries in the same category; these are not automatic substitutes.
| Code | Description | Category · further specificity required |
|---|---|---|
| H35.1 | Retinopathy of prematurity | Category · further specificity required |
| H35.2 | Other non-diabetic proliferative retinopathy | Category · further specificity required |
| H35.3 | Degeneration of macula and posterior pole | Category · further specificity required |
| H35.4 | Peripheral retinal degeneration | Category · further specificity required |
| H35.5 | Hereditary retinal dystrophy | Category · further specificity required |
| H35.6 | Retinal hemorrhage | Category · further specificity required |
| H35.7 | Separation of retinal layers | Category · further specificity required |
| H35.8 | Other specified retinal disorders | Category · further specificity required |
| H35.9 | Unspecified retinal disorder | Billable / specific |
Official titles and instructions are preserved in their source language. Official sources ↗