H35.3121 ICD-10-CM Code: Nonexudative age-related macular degeneration, left eye, early dry stage
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Inpatient Payment Groups (MS-DRG)
MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0, Appendix B.
- MS-DRG 124 — OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT (MDC 02)
- MS-DRG 125 — OTHER DISORDERS OF THE EYE WITHOUT MCC (MDC 02)
A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.
Official Registry Overview & Definition
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for H35.3121 in the official ICD-10-CM tabular list.
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- diabetic retinal disorders (E08.311-E08.359, E09.311-E09.359, E10.311-E10.359, E11.311-E11.359, E13.311-E13.359) Compare H35.3121 vs E08.311 →
Change history
- FY2017 — 2016-10-01Added to the code setNonexudative age-related macular degeneration, left eye, early dry stageFY2017 changes
Verify Before Coding
- Billable — reportable as written.
- Age-restricted: the Medicare Code Editor lists this as a adult (age 15-124) diagnosis; other ages are presumed incorrect.
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim.
Contextual Map
Every relationship of H35.3121 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Hierarchy
- H00-H59 — Chapter 7: Diseases of the Eye and Adnexa (H00-H59) (H00-H59) [Hierarchy]
- H30-H36 — Disorders of choroid and retina [Hierarchy]
Clinical classification (CCSR)
- EYE005 — Retinal and vitreous conditions [CCSR]
Potential MS-DRG
- DRG 124 — OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT [MS-DRG]: “OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT (MDC 02)”
- DRG 125 — OTHER DISORDERS OF THE EYE WITHOUT MCC [MS-DRG]: “OTHER DISORDERS OF THE EYE WITHOUT MCC (MDC 02)”
MDC crossing · procedures (1200)
- MDC 02 — Diseases and Disorders of the Eye [MDC crossing]: “Diseases and Disorders of the Eye — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”
- 039S0ZX — Drainage of Right Temporal Artery, Open Approach, Diagnostic [Same-MDC procedure]: “Drainage of Right Temporal Artery, Open Approach, Diagnostic — grouped in MDC 02, the procedure side of this code's crossing.” · check together
- 039S4ZX — Drainage of Right Temporal Artery, Percutaneous Endoscopic Approach, Diagnostic [Same-MDC procedure]: “Drainage of Right Temporal Artery, Percutaneous Endoscopic Approach, Diagnostic — grouped in MDC 02, the procedure side of this code's crossing.” · check together
- 039T0ZX — Drainage of Left Temporal Artery, Open Approach, Diagnostic [Same-MDC procedure]: “Drainage of Left Temporal Artery, Open Approach, Diagnostic — grouped in MDC 02, the procedure side of this code's crossing.” · check together
- 039T4ZX — Drainage of Left Temporal Artery, Percutaneous Endoscopic Approach, Diagnostic [Same-MDC procedure]: “Drainage of Left Temporal Artery, Percutaneous Endoscopic Approach, Diagnostic — grouped in MDC 02, the procedure side of this code's crossing.” · check together
- 03BS0ZX — Excision of Right Temporal Artery, Open Approach, Diagnostic [Same-MDC procedure]: “Excision of Right Temporal Artery, Open Approach, Diagnostic — grouped in MDC 02, the procedure side of this code's crossing.” · check together
- and 1195 more
Nearest codes (40)
- H35 — Other retinal disorders [Sibling]
- H35.171 — Retrolental fibroplasia, right eye [Sibling]
- H35.172 — Retrolental fibroplasia, left eye [Sibling]
- H35.173 — Retrolental fibroplasia, bilateral [Sibling]
- H35.179 — Retrolental fibroplasia, unspecified eye [Sibling]
- H35.2 — Other non-diabetic proliferative retinopathy [Sibling]
- H35.20 — Other non-diabetic proliferative retinopathy, unspecified eye [Sibling]
- H35.21 — Other non-diabetic proliferative retinopathy, right eye [Sibling]
- and 32 more
Change history
- FY2017 — Added to the code set [Change history]
Relationships & Classification
Clinical classification (AHRQ CCSR):EYE005 — Retinal and vitreous conditions (default).
Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.
Potential MS-DRG Relationships (FY2026)
Not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity.
Named in the grouper logic of 2 MS-DRGs: DRG 124 (MDC 02), DRG 125 (MDC 02).
From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.
Frequently Asked Questions (FAQ) & Clinical Guidance
Does H35.3121 require a 7th character?
Yes. One of the following 7th characters is to be assigned to codes in subcategory H35.31 to designate the stage of the disease:.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to H35.3121 in its code family, with their registry titles.
- H35.3112 — Nonexudative age-related macular degeneration, right eye, intermediate dry stage
- H35.3113 — Nonexudative age-related macular degeneration, right eye, advanced atrophic without subfoveal involvement
- H35.3114 — Nonexudative age-related macular degeneration, right eye, advanced atrophic with subfoveal involvement
- H35.312 — Nonexudative age-related macular degeneration, left eye
- H35.3120 — Nonexudative age-related macular degeneration, left eye, stage unspecified
- H35.3122 — Nonexudative age-related macular degeneration, left eye, intermediate dry stage
- H35.3123 — Nonexudative age-related macular degeneration, left eye, advanced atrophic without subfoveal involvement
- H35.3124 — Nonexudative age-related macular degeneration, left eye, advanced atrophic with subfoveal involvement
- H35.313 — Nonexudative age-related macular degeneration, bilateral
- H35.3130 — Nonexudative age-related macular degeneration, bilateral, stage unspecified