Billable / Specific Code
ICD-10-CM H35.54 is the diagnosis code for Dystrophies primarily involving the retinal pigment epithelium. This code falls under the section "Disorders of choroid and retina" within Chapter 7 — Diseases of the eye and adnexa (H00-H59). It is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.
Understanding where H35.54 sits in the ICD-10-CM classification helps ensure proper coding:
Yes, H35.54 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
H35.54 is the ICD-10-CM diagnosis code for "Dystrophies primarily involving the retinal pigment epithelium". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.
The parent code of H35.54 is H35.5 ("Hereditary retinal dystrophy"). H35.54 provides a more specific classification within this category.
H35.54 is located in Section H30-H36 — "Disorders of choroid and retina" within Chapter 7 of the ICD-10-CM Tabular List.
Use H35.54 when the patients documented diagnosis matches "Dystrophies primarily involving the retinal pigment epithelium" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.
The ICD-10-CM code for Dystrophies primarily involving the retinal pigment epithelium is H35.54.
Yes, H35.54 can be used as a primary diagnosis code since it is billable and specific.
H35.54 is in Chapter 7 of the ICD-10-CM Tabular List.
Yes, H35.54 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.