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Home/Diagnosis/ICD-10 Coding for Cystoid Macular Edema

ICD-10 Coding for Cystoid Macular Edema

H35.351
H59.031

Complete ICD-10-CM coding and documentation guide for icd-10 coding for cystoid macular edema includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
CME
Macular Edema
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Key Information: ICD-10 Coding for Cystoid Macular Edema

Essential facts and insights about ICD-10 Coding for Cystoid Macular Edema

Use ICD-10 code H35.351 for cystoid macular degeneration, right eye, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Cystoid macular degeneration, right eye

Billable Code
H35.351
Billable

Diagnostic Criteria

clinical:
  • • CME confirmed by OCT and fluorescein angiography
coding:
  • • No recent cataract surgery

Applicable To

  • • Cystoid macular edema, right eye

Important Notes

  • • Ensure documentation specifies non-surgical etiology.

Cystoid macular edema following cataract surgery, right eye

Billable Code
H59.031
Billable

Diagnostic Criteria

clinical:
  • • CME onset within 4-12 weeks post-cataract surgery
  • • OCT showing subfoveal fluid and intraretinal cysts

Applicable To

  • • CME post-cataract surgery, right eye

Important Notes

  • • Document cataract surgery date and CME onset.
Ancillary Codes

Additional codes that may be used with this diagnosis

E11.3511

Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, right eye

Use when CME is associated with diabetic retinopathy.

Frequently Asked Questions

What is the ICD-10 code for cystoid macular edema?

The ICD-10 code for cystoid macular edema is H35.35- for non-postoperative cases and H59.03- for post-cataract surgery cases.

How is cystoid macular edema documented?

Document cystoid macular edema by specifying laterality, etiology, and confirmatory test results such as OCT and fluorescein angiography.

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