ICD-10-CM › H00-H59 › H30-H36 › H35.3 Degeneration of macula and posterior pole › H35.34

H35.34

Macular cyst, hole, or pseudohole

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:

  • H35.341 Macular cyst, hole, or pseudohole, right eye
  • H35.342 Macular cyst, hole, or pseudohole, left eye
  • H35.343 Macular cyst, hole, or pseudohole, bilateral
  • H35.349 Macular cyst, hole, or pseudohole, 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 Macular cyst, hole, or pseudohole

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
H35.30 Unspecified macular degeneration Valid
H35.31 Nonexudative age-related macular degeneration Not billable
H35.32 Exudative age-related macular degeneration Not billable
H35.33 Angioid streaks of macula Valid
H35.35 Cystoid macular degeneration Not billable
H35.36 Drusen (degenerative) of macula Not billable
H35.37 Puckering of macula Not billable
H35.38 Toxic maculopathy Not billable