Effective from
- First observed
Dystrophies primarily involving the retinal pigment epithelium
Billable diagnosis code
CDC/NCHS · FY2016dystrophies primarily involving Bruch's membrane (H31.1-)
Coverage depends on the payer, service and applicable policy. A billable code does not guarantee payment.
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
No recorded change since first observation
Effective from
Dystrophies primarily involving the retinal pigment epithelium
Billable diagnosis code
CDC/NCHS · FY2016| 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 | No tabular change |
| 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 |
Historical mapping only; not an automatic code substitution.
Vitelliform retinal dystrophy
Use an external cause code following the code for the eye condition, if applicable, to identify the cause of the eye condition
dystrophies primarily involving Bruch's membrane (H31.1-)
Other entries in the same category; these are not automatic substitutes.
| Code | Description | Category · further specificity required |
|---|---|---|
| H35.50 | Unspecified hereditary retinal dystrophy | Billable / specific |
| H35.51 | Vitreoretinal dystrophy | Billable / specific |
| H35.52 | Pigmentary retinal dystrophy | Billable / specific |
| H35.53 | Other dystrophies primarily involving the sensory retina | Billable / specific |
Official titles and instructions are preserved in their source language. Official sources ↗