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H35.3232 ICD-10-CM Code: Exudative age-related macular degeneration, bilateral, with inactive choroidal neovascularization

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.

Risk Adjustment (CMS-HCC)

Payment categories this diagnosis maps to under CMS-HCC V28, payment year 2026.

  • HCC 300 — Exudative Macular Degeneration

Other models: CMS-HCC V22 HCC 124

Risk scores depend on the enrollee's full accepted diagnosis set and segment; a category mapping alone does not determine payment.

Official Registry Overview & Definition

Exudative age-related macular degeneration, bilateral, with inactive choroidal neovascularization is a billable ICD-10-CM diagnosis code (H35.3232).

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for H35.3232 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.

Frequently Compared Codes

The official Excludes notes on H35.3232 name these codes. Each comparison page covers when the two can — or must not — be reported together.

Change history

  • FY2017 — 2016-10-01
    Added to the code set
    Exudative age-related macular degeneration, bilateral, with inactive choroidal neovascularization
    FY2017 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.

Contextual Map

Every relationship of H35.3232 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]

Risk adjustment (CMS-HCC)

  • HCC 300 — Exudative Macular Degeneration [CMS-HCC]

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]
  • H35.319 — Nonexudative age-related macular degeneration, unspecified eye [Sibling]
  • H35.3190 — Nonexudative age-related macular degeneration, unspecified eye, stage unspecified [Sibling]
  • H35.3191 — Nonexudative age-related macular degeneration, unspecified eye, early dry stage [Sibling]
  • H35.3192 — Nonexudative age-related macular degeneration, unspecified eye, intermediate dry stage [Sibling]
  • H35.3193 — Nonexudative age-related macular degeneration, unspecified eye, advanced atrophic without subfoveal involvement [Sibling]
  • H35.3194 — Nonexudative age-related macular degeneration, unspecified eye, advanced atrophic with subfoveal involvement [Sibling]
  • H35.32 — Exudative age-related macular degeneration [Sibling]
  • and 32 more

Change history

  • FY2017 — Added to the code set [Change history]

Frequently Asked Questions (FAQ) & Clinical Guidance

Does H35.3232 require a 7th character?

Yes. One of the following 7th characters is to be assigned to codes in subcategory H35.32 to designate the stage of the disease:.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to H35.3232 in its code family, with their registry titles.

  • H35.3222 — Exudative age-related macular degeneration, left eye, with inactive choroidal neovascularization
  • H35.3223 — Exudative age-related macular degeneration, left eye, with inactive scar
  • H35.323 — Exudative age-related macular degeneration, bilateral
  • H35.3230 — Exudative age-related macular degeneration, bilateral, stage unspecified
  • H35.3231 — Exudative age-related macular degeneration, bilateral, with active choroidal neovascularization
  • H35.3233 — Exudative age-related macular degeneration, bilateral, with inactive scar
  • H35.329 — Exudative age-related macular degeneration, unspecified eye
  • H35.3290 — Exudative age-related macular degeneration, unspecified eye, stage unspecified
  • H35.3291 — Exudative age-related macular degeneration, unspecified eye, with active choroidal neovascularization
  • H35.3292 — Exudative age-related macular degeneration, unspecified eye, with inactive choroidal neovascularization

View all codes in the H35 family