ICD-10-CM Code H35.81
Retinal edema
Billable Code
Billable codes are sufficient justification for admission to an acute care hospital when used a principal diagnosis.H35.81 is a billable ICD code used to specify a diagnosis of retinal edema. A 'billable code' is detailed enough to be used to specify a medical diagnosis.
The ICD code H358 is used to code Macular edema
Macular edema occurs when fluid and protein deposits collect on or under the macula of the eye (a yellow central area of the retina) and causes it to thicken and swell (edema). The swelling may distort a person's central vision, because the macula holds tightly packed cones that provide sharp, clear, central vision to enable a person to see detail, form, and color that is directly in the centre of the field of view.
| Specialty: | Ophthalmology |
| MeSH Codes: | , |
| ICD 9 Codes: | 362.01, 362.53 |
A 61-year-old man with medical history of type 2 diabetes that presents a macular edema, evidenced by an OCT (the edema marked with arrows). The central image is a 3D reconstruction of the retinal thickness (the edema is coloured in red).
Coding Notes for H35.81 Info for medical coders on how to properly use this ICD-10 code
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Inclusion Terms:
Inclusion Terms
Inclusion Terms are a list of concepts for which a specific code is used. The list of Inclusion Terms is useful for determining the correct code in some cases, but the list is not necessarily exhaustive. - Retinal cotton wool spots
MS-DRG Mapping
- DRG Group #124-125 - Other disorders of the eye with MCC.
- DRG Group #124-125 - Other disorders of the eye without MCC.
Related Concepts SNOMET-CT
- Branch retinal vein occlusion with macular edema (disorder)
- Central retinal vein occlusion - juvenile with macular edema (disorder)
- Cotton wool spots (disorder)
ICD-10-CM Alphabetical Index References for 'H35.81 - Retinal edema'
The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code H35.81. Click on any term below to browse the alphabetical index.
Equivalent ICD-9 Code GENERAL EQUIVALENCE MAPPINGS (GEM)
This is the official exact match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that in all cases where the ICD9 code 362.83 was previously used, H35.81 is the appropriate modern ICD10 code.
Parent Code: H35.8 - Other specified retinal disorders