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ICD-10-CM · FY 2026 APRIL UPDATE

H35.1

Retinopathy of prematurity

Diagnosis reference

Nonbillable category

This entry is a category or subcategory. Choose the appropriate billable descendant based on the clinical documentation.

Effective periodOctober 1, 2026–September 30, 2027
SourceCMS ICD-10-CM order file
ClassificationDiagnosis · clinical modification

Related entries

Up to 30 descendants in this category

CODEDESCRIPTIONTYPE
H35.10Retinopathy of prematurity, unspecifiedCategory
H35.101Retinopathy of prematurity, unspecified, right eyeBillable
H35.102Retinopathy of prematurity, unspecified, left eyeBillable
H35.103Retinopathy of prematurity, unspecified, bilateralBillable
H35.109Retinopathy of prematurity, unspecified, unspecified eyeBillable
H35.11Retinopathy of prematurity, stage 0Category
H35.111Retinopathy of prematurity, stage 0, right eyeBillable
H35.112Retinopathy of prematurity, stage 0, left eyeBillable
H35.113Retinopathy of prematurity, stage 0, bilateralBillable
H35.119Retinopathy of prematurity, stage 0, unspecified eyeBillable
H35.12Retinopathy of prematurity, stage 1Category
H35.121Retinopathy of prematurity, stage 1, right eyeBillable
H35.122Retinopathy of prematurity, stage 1, left eyeBillable
H35.123Retinopathy of prematurity, stage 1, bilateralBillable
H35.129Retinopathy of prematurity, stage 1, unspecified eyeBillable
H35.13Retinopathy of prematurity, stage 2Category
H35.131Retinopathy of prematurity, stage 2, right eyeBillable
H35.132Retinopathy of prematurity, stage 2, left eyeBillable
H35.133Retinopathy of prematurity, stage 2, bilateralBillable
H35.139Retinopathy of prematurity, stage 2, unspecified eyeBillable
H35.14Retinopathy of prematurity, stage 3Category
H35.141Retinopathy of prematurity, stage 3, right eyeBillable
H35.142Retinopathy of prematurity, stage 3, left eyeBillable
H35.143Retinopathy of prematurity, stage 3, bilateralBillable
H35.149Retinopathy of prematurity, stage 3, unspecified eyeBillable
H35.15Retinopathy of prematurity, stage 4Category
H35.151Retinopathy of prematurity, stage 4, right eyeBillable
H35.152Retinopathy of prematurity, stage 4, left eyeBillable
H35.153Retinopathy of prematurity, stage 4, bilateralBillable
H35.159Retinopathy of prematurity, stage 4, unspecified eyeBillable

Use the complete reference

This reference does not reproduce the full tabular hierarchy, inclusion notes, Excludes1/2 notes, sequencing instructions, or seventh-character rules. Review the official tables and coding guidelines.

Open official CMS files

ICD-10-CM codes describe diagnoses. They do not have an independent Medicare PFS reimbursement amount, and billability alone does not establish coverage.