ICD-10 Code for Retinopathy

The default ICD-10-CM 2027 code for retinopathy (background) is H35.00 – Unspecified background retinopathy. More specific codes depend on the details documented, as listed in the official index (17 codes, 2 billable).

Main code: H35.00 – Unspecified background retinopathy
Billable: Yes

Index entries for Retinopathy

arteriosclerotic – I70.8 – H35.0- (header) [manifestation]
atherosclerotic – I70.8 – H35.0- (header) [manifestation]
central serous – see Chorioretinopathy, central serous
Coats – H35.02- (header)
diabetic – see Diabetes, retinopathy
exudative – H35.02- (header)
hypertensive – H35.03- (header)
in (due to)
- diabetes – see Diabetes, retinopathy
- sickle-cell disorders
  - nonproliferative – D57.- (header) – H36.81- (header) [manifestation]
  - proliferative – D57.- (header) – H36.82- (header) [manifestation]
of prematurity – H35.10- (header)
- stage 0 – H35.11- (header)
- stage 1 – H35.12- (header)
- stage 2 – H35.13- (header)
- stage 3 – H35.14- (header)
- stage 4 – H35.15- (header)
- stage 5 – H35.16- (header)
pigmentary, congenital – see Dystrophy, retina
proliferative NEC – H35.2- (header)
- diabetic – see Diabetes, retinopathy, proliferative
- sickle-cell – D57.- (header) – H36.82- (header) [manifestation]
- thalassemia – H35.2 (header)
solar – H31.02- (header)

How to choose the right code

Start with the main term, then pick the indented subterm that matches the documentation (type, cause, site, laterality, episode of care). Always confirm the code in the tabular list: follow its Excludes1/Excludes2, “code first” and “use additional code” notes, and add a 7th character where required.

Source: CDC/NCHS ICD-10-CM FY2027 alphabetic index.