H35.1 Retinopathy of prematurity

The ICD-10-CM code for Retinopathy of prematurity is H35.1 (FY2026). It is a non-billable category code — select a more specific code below for claims.

Classification

Chapter

7: Diseases of the eye and adnexa (H00-H59)

Section

H30-H36: Disorders of choroid and retina (H30-H36)

Category H35

188 codes (139 billable)

FY2026 Status

Stable since FY2024

Official Coding Guidelines

Glaucoma (TOC entry)

a. Glaucoma .............................................................................................................................. 48

Assigning glaucoma codes (use as many H40 codes as needed)

Assign as many codes from category H40, Glaucoma, as needed to identify the type of glaucoma, the affected eye, and the glaucoma stage.

Source: CMS — ICD-10-CM Official Guidelines for Coding and Reporting, FY2026

References

• CMS — ICD-10-CM Official Code Set and Guidelines, FY2026
• CDC/NCHS — ICD-10-CM Files and Browser Tool

Cite This Page

Reference H35.1 with the canonical source and edition:

H35.1 — Retinopathy of prematurity. ICD-10 Coding Pro (ICD-10-CM FY2026). https://icd10codingpro.com/codes/H35.1

Canonical URL: https://icd10codingpro.com/codes/H35.1