H35.54 – Dystrophies primarily involving the retinal pigment epithelium

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

Billable code

ICD-10-CM code H35.54
Code
H35.54 (claims format: H3554)
Description
Dystrophies primarily involving the retinal pigment epithelium
Short description
Dystrophies primarily w the retinal pigment epithelium
Billable
Yes – valid for HIPAA-covered transactions
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 › H35.5

Notes for H35.54

Applicable to:
  • Vitelliform retinal dystrophy

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):

H35.5 – Hereditary retinal dystrophy

Excludes1 (not coded here):
  • dystrophies primarily involving Bruch's membrane (H31.1-)

Index terms for H35.54

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

Related codes in H35.5

Frequently asked questions

What is ICD-10 code H35.54?

H35.54 is the ICD-10-CM code for dystrophies primarily involving the retinal pigment epithelium, in the block H30-H36 (Disorders of choroid and retina).

Is H35.54 a billable code?

Yes. H35.54 is a billable/specific code that can be used to indicate a diagnosis for reimbursement purposes.

What category does H35.54 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.