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ICD-10/H35.3233

H35.3233 ICD-10-CM Code: Exudative age-related macular degeneration, bilateral, with inactive scar

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 scar is a billable ICD-10-CM diagnosis code (H35.3233).

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for H35.3233 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.

Change history

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

Contextual Map

Every relationship of H35.3233 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]
  • H35.3190 — 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]
  • H35.321 — Exudative age-related macular degeneration, 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 H35.3233 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 H35.3233 in its code family, with their registry titles.

  • 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
  • H35.3232 — Exudative age-related macular degeneration, bilateral, with inactive choroidal neovascularization
  • 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
  • H35.3293 — Exudative age-related macular degeneration, unspecified eye, with inactive scar

View all codes in the H35 family