H35.3192 ICD-10-CM Code: Nonexudative age-related macular degeneration, unspecified eye, intermediate 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 H35.3192 in the official ICD-10-CM tabular list.
Frequently Compared Codes
The official Excludes notes on H35.3192 name these codes. Each comparison page covers when the two can — or must not — be reported together.
Change history
- FY2017 — 2016-10-01Added to the code setNonexudative age-related macular degeneration, unspecified eye, intermediate dry stageFY2017 changes
Verify Before Coding
- 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.
Relationships & Classification
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.
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.
Related Codes
Same clinical category (CCSR)
AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Retinal and vitreous conditions).
+747 more
Lab tests where this diagnosis supports Medicare coverage
Medicare's National Coverage Determinations list this diagnosis as medical justification for these lab tests.
Blood Glucose Test (lab test)
Contextual Map
Every relationship of H35.3192 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]
- H35.3110 — Nonexudative age-related macular degeneration, right eye, stage unspecified [Sibling]
- H35.3111 — Nonexudative age-related macular degeneration, right eye, early dry stage [Sibling]
- H35.3112 — Nonexudative age-related macular degeneration, right eye, intermediate dry stage [Sibling]
- H35.3113 — Nonexudative age-related macular degeneration, right eye, advanced atrophic without subfoveal involvement [Sibling]
- H35.3114 — Nonexudative age-related macular degeneration, right eye, advanced atrophic with subfoveal involvement [Sibling]
- H35.312 — Nonexudative age-related macular degeneration, left eye [Sibling]
- H35.3120 — Nonexudative age-related macular degeneration, left eye, stage unspecified [Sibling]
- and 32 more
Change history
- FY2017 — Added to the code set [Change history]
Frequently Asked Questions (FAQ) & Clinical Guidance
Does H35.3192 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 H35.3192 in its code family, with their registry titles.
- H35.3133 — Nonexudative age-related macular degeneration, bilateral, advanced atrophic without subfoveal involvement
- H35.3134 — Nonexudative age-related macular degeneration, bilateral, advanced atrophic with subfoveal involvement
- H35.319 — Nonexudative age-related macular degeneration, unspecified eye
- H35.3190 — Nonexudative age-related macular degeneration, unspecified eye, stage unspecified
- H35.3191 — Nonexudative age-related macular degeneration, unspecified eye, early dry stage
- H35.3193 — Nonexudative age-related macular degeneration, unspecified eye, advanced atrophic without subfoveal involvement
- H35.3194 — Nonexudative age-related macular degeneration, unspecified eye, advanced atrophic with subfoveal involvement
- H35.32 — Exudative age-related macular degeneration
- H35.321 — Exudative age-related macular degeneration, right eye
- H35.3210 — Exudative age-related macular degeneration, right eye, stage unspecified