H35.38

Toxic maculopathy

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.

H35.38 is a non-billable ICD-10-CM code header for toxic maculopathy. 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 H35.381 Toxic maculopathy, right eye; H35.382 Toxic maculopathy, left eye; H35.383 Toxic maculopathy, bilateral and H35.389 Toxic maculopathy, unspecified eye. Its coding notes include a Code first instruction, a Use additional code instruction and 12 Excludes2 entries.

Code first

If the underlying condition listed here is present and known, sequence it first.

This code
  • poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4)

Use additional code

Add the listed code as a secondary code, if known.

This code
  • code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)

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 H35.38 4