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H35.361 vs H35.362

H35.361 (Drusen (degenerative) of macula, right eye) compared with H35.362 (Drusen (degenerative) of macula, left eye), from the official CMS tabular data. H35.361 and H35.362 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

H35.361
Right
Drusen (degenerative) of macula, right eye
H35.362
Left
Drusen (degenerative) of macula, 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. H35.361 and H35.362 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

H35.361Drusen (degenerative) of macula, right eyeH35.362Drusen (degenerative) of macula, left eye
Billing statusBillableBillable
ClassificationH00-H59 — Diseases of the Eye and Adnexa (H00-H59)H00-H59 — Diseases of the Eye and Adnexa (H00-H59)
DefinitionDrusen (degenerative) of macula, right eye is a billable ICD-10-CM diagnosis code (H35.361).Drusen (degenerative) of macula, left eye is a billable ICD-10-CM diagnosis code (H35.362).

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