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H35.381 vs H35.389

H35.381 (Toxic maculopathy, right eye) compared with H35.389 (Toxic maculopathy, unspecified eye), from the official CMS tabular data. H35.381 and H35.389 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

H35.381
Right
Toxic maculopathy, right eye
H35.389
Unspecified
Toxic maculopathy, unspecified 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. H35.381 and H35.389 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

H35.381Toxic maculopathy, right eyeH35.389Toxic maculopathy, unspecified eye
Billing statusBillableBillable
ClassificationH00-H59 — Diseases of the Eye and Adnexa (H00-H59)H00-H59 — Diseases of the Eye and Adnexa (H00-H59)
DefinitionToxic maculopathy, right eye is a billable ICD-10-CM diagnosis code (H35.381).Toxic maculopathy, unspecified eye is a billable ICD-10-CM diagnosis code (H35.389).
Use additional code
code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
Code first
poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4)
poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4)

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