H35.16

Retinopathy of prematurity, stage 5

FY2027Chapter 7: Diseases of the eye and adnexa/H30–H36 Disorders of choroid and retina

Non-billable headerNot valid on its own. Use one of the more specific codes under it.

H35.16 is a non-billable ICD-10-CM code header for retinopathy of prematurity, stage 5. 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 H35.161 Retinopathy of prematurity, stage 5, right eye; H35.162 Retinopathy of prematurity, stage 5, left eye; H35.163 Retinopathy of prematurity, stage 5, bilateral and H35.169 Retinopathy of prematurity, stage 5, unspecified eye. 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

Alphabetic Index terms

Terms the official Alphabetic Index lists for this code. 1 entry

More specific codes under H35.16 4