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Home/Diagnosis/ICD-10 Coding for Macular Degeneration

ICD-10 Coding for Macular Degeneration

H35.31
H35.32

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

Also Known as:
Age-related Macular Degeneration
AMD
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Key Information: ICD-10 Coding for Macular Degeneration

Essential facts and insights about ICD-10 Coding for Macular Degeneration

Use ICD-10 code H35.31 for nonexudative age-related macular degeneration, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Nonexudative age-related macular degeneration

Non-Billable
H35.31
Non-Billable

Diagnostic Criteria

clinical:
  • • Presence of drusen without fluid on OCT
documentation:
  • • Detailed staging and laterality

Applicable To

  • • Dry AMD

Important Notes

  • • Ensure documentation specifies drusen size and presence of geographic atrophy.

Exudative age-related macular degeneration

Non-Billable
H35.32
Non-Billable

Diagnostic Criteria

clinical:
  • • OCT showing subretinal or intraretinal fluid
  • • Fluorescein angiography confirming CNV

Applicable To

  • • Wet AMD

Important Notes

  • • Document treatment response and follow-up imaging.
Frequently Asked Questions

What is the ICD-10 code for macular degeneration?

The ICD-10 codes for macular degeneration include H35.31 for nonexudative (dry) AMD and H35.32 for exudative (wet) AMD, with additional characters for laterality and stage.

How do you code bilateral AMD?

For bilateral AMD with the same stage, use the bilateral code. If stages differ, code each eye separately with appropriate laterality and stage.

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