Age-related reticular degeneration of retina, bilateral. H35.443 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2019 edition of ICD-10-CM H35.443 became effective on October 1, 2018.
Unspecified peripheral retinal degeneration. H35.40 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
The ICD-10 codes for age-related macular degeneration (AMD) involve both laterality and staging. Correct staging enables more accurate characterization, which is important for understanding risk for visual loss; it also helps to ensure accurate documentation and efficient billing. Coding for Laterality in AMD
peripheral retinal degeneration with retinal break ( ICD-10-CM Diagnosis Code H33.3. Retinal breaks without detachment 2016 2017 2018 2019 2020 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-)
Retinal break, unspecified H33.301 H33.302 H33.303 X H33.309 Round hole of retina without detachment H33.321 H33.322 H33.323 X H33.329 Retinal Vascular Occlusions TYPE RT LT BOTH SINGLE CODE UNSPECIFIED Central retinal artery occlusion (CRAO ) H34.11 H34.12 H34.13 X H34.10 Central retinal vein occlusion (CRAO ), with
Retinopathy is persistent or acute damage to the retina of the eye. Ongoing inflammation and vascular remodeling may occur over periods of time where the patient is not fully aware of the extent of the disease. Frequently, retinopathy is an ocular manifestation of systemic disease as seen in diabetes or hypertension.
This is the official approximate match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that while there is no exact mapping between this ICD10 code H35.443 and a single ICD9 code, 362.64 is an approximate match for comparison and conversion purposes.
When you use the codes for dry AMD (H35.31xx) and wet AMD (H35.32xx), you must use the sixth character to indicate laterality as follows:
The codes for dry AMD—H35.31xx—use the seventh character to indicate staging as follows:
When is the retina considered atrophic? The Academy Preferred Practice Pattern1 defines GA as follows:
The Academy recommends that when coding, you indicate whether the GA involves the center of the fovea: Code H35.31x4 if it does and H35.31x3 if it doesn’t, with “x” indicating laterality.
The codes for wet AMD—H35.32xx—use the sixth character to indicate laterality and the seventh character to indicate staging as follows:
Introduction to Physician Payment Policy (Sym12). A panel will explain how new CPT codes are created and valued; how existing codes are targeted for reevaluation; the impact of new technology on the valuation of existing procedures; and the difference between CMS and commercial carrier coverage policies. When: Sunday, Nov. 12, 11:15 a.m.-12:15 p.m.