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H35.461 vs H35.469

H35.461 (Secondary vitreoretinal degeneration, right eye) compared with H35.469 (Secondary vitreoretinal degeneration, unspecified eye), from the official CMS tabular data. H35.461 and H35.469 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

H35.461
Right
Secondary vitreoretinal degeneration, right eye
H35.469
Unspecified
Secondary vitreoretinal degeneration, 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. H35.461 and H35.469 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

H35.461Secondary vitreoretinal degeneration, right eyeH35.469Secondary vitreoretinal degeneration, unspecified eye
Billing statusBillableBillable
ClassificationH00-H59 — Diseases of the Eye and Adnexa (H00-H59)H00-H59 — Diseases of the Eye and Adnexa (H00-H59)
DefinitionSecondary vitreoretinal degeneration, right eye is a billable ICD-10-CM diagnosis code (H35.461).Secondary vitreoretinal degeneration, unspecified eye is a billable ICD-10-CM diagnosis code (H35.469).

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