ICD-10-CM › H00-H59 › H30-H36 › H35.1 Retinopathy of prematurity › H35.15

H35.15

Retinopathy of prematurity, stage 4

Not billableICD-10-CM diagnosis code.

This code exists but cannot be submitted on its own. It groups the more specific codes beneath it.

A category header for its whole life, FY2016 onwards. It has never been valid for submission on its own.

Submit one of these 4 more specific codes instead:

  • H35.151 Retinopathy of prematurity, stage 4, right eye
  • H35.152 Retinopathy of prematurity, stage 4, left eye
  • H35.153 Retinopathy of prematurity, stage 4, bilateral
  • H35.159 Retinopathy of prematurity, stage 4, unspecified eye

What has happened to this code

Every change the publisher made, from 2012 to now. Entries marked draft are from the pre-implementation releases: ICD-10 took effect on 1 October 2015, so nothing before FY2016 was ever valid on a claim.

  1. FY2012 Added to the draft code set draft Retinopathy of prematurity, stage 4

Official coding rules

Published by CDC for FY2027. A rule attached to a category binds every code beneath it, so the rules inherited from this code's ancestors are shown with the code they come from.

Inherited from H35 Other retinal disorders

Excludes2 - not included here

  • diabetic retinal disorders (E08.311-E08.359, E09.311-E09.359, E10.311-E10.359, E11.311-E11.359, E13.311-E13.359)

How CDC's index refers to this code

Wording from the official alphabetic index. Much of it appears nowhere in the code description, which is why a search for the everyday phrase so often finds nothing.

Codes in the same group

CodeDescriptionStatus
H35.10 Retinopathy of prematurity, unspecified Not billable
H35.11 Retinopathy of prematurity, stage 0 Not billable
H35.12 Retinopathy of prematurity, stage 1 Not billable
H35.13 Retinopathy of prematurity, stage 2 Not billable
H35.14 Retinopathy of prematurity, stage 3 Not billable
H35.16 Retinopathy of prematurity, stage 5 Not billable
H35.17 Retrolental fibroplasia Not billable