H35.161 (Retinopathy of prematurity, stage 5, right eye) compared with H35.169 (Retinopathy of prematurity, stage 5, unspecified eye), from the official CMS tabular data. H35.161 and H35.169 code the same condition on opposite sides. MedCoder-derived
Same condition; these differ only in which side is documented.
These codes share a category and title and differ only in the side affected. The documentation decides which applies, and a bilateral code is reported only where the code set provides one.
Source: ICD-10-CM tabular list (laterality variant derived from the code title)
Same condition, opposite side. H35.161 and H35.169 name the same condition on opposite sides of the body.
Same category and title, differing only in which side is affected — the documentation decides which one applies, and a bilateral code is reported only where the code set provides one.
| H35.161Retinopathy of prematurity, stage 5, right eye | H35.169Retinopathy of prematurity, stage 5, unspecified eye | |
|---|---|---|
| Billing status | Billable | Billable |
| Classification | H00-H59 — Diseases of the Eye and Adnexa (H00-H59) | H00-H59 — Diseases of the Eye and Adnexa (H00-H59) |
| Definition | Retinopathy of prematurity, stage 5, right eye is a billable ICD-10-CM diagnosis code (H35.161). | Retinopathy of prematurity, stage 5, unspecified eye is a billable ICD-10-CM diagnosis code (H35.169). |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources