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H35.321 vs H35.322

H35.321 (Exudative age-related macular degeneration, right eye) compared with H35.322 (Exudative age-related macular degeneration, left eye), from the official CMS tabular data. H35.321 and H35.322 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

H35.321
Right
Exudative age-related macular degeneration, right eye
H35.322
Left
Exudative age-related macular degeneration, left eye

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)

Can these codes be reported together?

Same condition, opposite side. H35.321 and H35.322 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.

Side by side

H35.321Exudative age-related macular degeneration, right eyeH35.322Exudative age-related macular degeneration, left eye
Billing statusNon-billable header

Report instead: H35.3210, H35.3211, H35.3212, H35.3213

Non-billable header

Report instead: H35.3220, H35.3221, H35.3222, H35.3223

ClassificationH00-H59 — Diseases of the Eye and Adnexa (H00-H59)H00-H59 — Diseases of the Eye and Adnexa (H00-H59)
DefinitionExudative age-related macular degeneration, right eye is a non-billable ICD-10-CM category code (H35.321).Exudative age-related macular degeneration, left eye is a non-billable ICD-10-CM category code (H35.322).
7th characterOne of the following 7th characters is to be assigned to codes in subcategory H35.32 to designate the stage of the disease:One of the following 7th characters is to be assigned to codes in subcategory H35.32 to designate the stage of the disease:

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources