H35.1
Retinopathy of prematurity
Non-billable headerNot valid on its own. Use one of the more specific codes under it.
H35.1 is a non-billable ICD-10-CM code header for retinopathy of prematurity. Report a more specific code from it instead. It is part of the FY2027 code set, effective October 1, 2026. The more specific codes under it are H35.10 Retinopathy of prematurity, unspecified; H35.11 Retinopathy of prematurity, stage 0; H35.12 Retinopathy of prematurity, stage 1; H35.13 Retinopathy of prematurity, stage 2 and 4 more. Its coding notes include 12 Excludes2 entries.
Excludes2
Not included here. Both codes may be reported if the patient has both conditions.
Inherited from H35 Other retinal disorders
Also from chapter/block level (11 notes)
Inherited from Chapter 7 Diseases of the eye and adnexa
- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
- diabetes mellitus related eye conditions (E09.3-, E10.3-, E11.3-, E13.3-)
- endocrine, nutritional and metabolic diseases (E00-E88)
- injury (trauma) of eye and orbit (S05.-)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
- syphilis related eye disorders (A50.01, A50.3-, A51.43, A52.71)
Notes
Also from chapter/block level (1 note)
Inherited from Chapter 7 Diseases of the eye and adnexa
- Use an external cause code following the code for the eye condition, if applicable, to identify the cause of the eye condition
More specific codes under H35.1 8
- H35.10Retinopathy of prematurity, unspecifiedHeader
- H35.11Retinopathy of prematurity, stage 0Header
- H35.12Retinopathy of prematurity, stage 1Header
- H35.13Retinopathy of prematurity, stage 2Header
- H35.14Retinopathy of prematurity, stage 3Header
- H35.15Retinopathy of prematurity, stage 4Header
- H35.16Retinopathy of prematurity, stage 5Header
- H35.17Retrolental fibroplasiaHeader