Macular Degeneration ICD-10-CM Codes

Which Macular Degeneration ICD codes are Billable: 

Macular Degeneration, a common eye condition affecting the macula in the retina, can be classified using specific ICD-10 codes. Below are commonly used Macular Degeneration ICD Codes:

H35.31 

Nonexudative Age-Related Macular Degeneration (Dry AMD): This code is used when documenting nonexudative or dry age-related macular degeneration. It represents the more common form of the condition, characterized by drusen and macular thinning.

H35.32 

Exudative Age-Related Macular Degeneration (Wet AMD): This code is applied when the condition is exudative or wet. It signifies the presence of abnormal blood vessel growth under the macula, often leading to sudden vision loss.

H35.33 

Angioid Streaks of Macula: Angioid streaks, which are cracks in the Bruch's membrane, can be associated with macular degeneration. This code is used to denote this condition.

H35.34 

Macular Degeneration (Other): When the preceding codes do not cover the type of macular degeneration, this code describes other forms or variations of the condition.

H35.35 

Macular Pucker: Macular pucker, also known as epiretinal membrane, is a condition that can distort central vision. This code is used when documenting macular puckering.

H35.36 

Macular Cyst:​ This code is assigned in cases where macular cysts are present. Macular cysts can impact central vision and require specific diagnostic and treatment approaches.

Which Macular Degeneration ICD codes are Billable:

Below, we provide a breakdown of commonly used Macular Degeneration ICD-10 codes, along with their billability status:

• H35.31 - No
• H35.32 - No
• H35.33 - Yes
• H35.34 - No
• H35.35 - No
• H35.36 - No

Clinical Information

• Macular Degeneration Overview: Macular degeneration is a progressive eye condition affecting the macula, the central part of the retina responsible for sharp, central vision.
• Symptoms: Common symptoms include blurred or distorted central vision, difficulty reading, and challenges recognizing faces or details.
• Risk Factors: Age, genetics, smoking, and family history are known risk factors for macular degeneration.
• Diagnosis: Diagnosis involves a comprehensive eye examination, including optical coherence tomography (OCT) and fundus photography.
• Treatment: Treatment options vary depending on the type and severity of macular degeneration and may include lifestyle changes, dietary supplements, medications, anti-VEGF injections, laser therapy, and low vision aids.

Synonyms

• Age-Related Macular Degeneration
• AMD
• Macular Disease
• Retinal Degeneration
• Central Vision Loss