H35.16 – Retinopathy of prematurity, stage 5

ICD-10-CM 2027 diagnosis code · Disorders of choroid and retina

Non-billable header

ICD-10-CM code H35.16

Code: H35.16 (claims format: H3516)
Description: Retinopathy of prematurity, stage 5
Billable: No – use a more specific code below
Valid for: Dates of service October 1, 2026 – September 30, 2027 (FY2027)
Chapter: 7. Diseases of the eye and adnexa (H00-H59)
Block: H30-H36 Disorders of choroid and retina
Parent codes: H35 › H35.1

Billable codes under H35.16

H35.16 is a header code and cannot be used on claims. Choose the most specific code:

Notes inherited from parent codes

Instructional notes at a category or block level apply to every code below it.

H35 – Other retinal disorders

Excludes2 (not included here):

diabetic retinal disorders (E08.311-E08.359, E09.311-E09.359, E10.311-E10.359, E11.311-E11.359, E13.311-E13.359)

Index terms for H35.16

Entries in the ICD-10-CM alphabetic index that lead to this code:

Retinopathy, of prematurity, stage 5

Related codes in H35.1

Frequently asked questions

What is ICD-10 code H35.16?

H35.16 is the ICD-10-CM code for retinopathy of prematurity, stage 5, in the block H30-H36 (Disorders of choroid and retina).

Is H35.16 a billable code?

No. H35.16 is a header code with more specific child codes; report one of the billable codes listed above.

What category does H35.16 belong to?

It belongs to category H35 – Other retinal disorders.

Source: CDC/NCHS ICD-10-CM FY2027 code files, tabular list and index. Reference only – code assignment must follow the official ICD-10-CM guidelines and documentation in the medical record.