H35.81
Billable

Retinal edema

Billable / Specific Code

What is Retinal edema?

ICD-10-CM H35.81 is the diagnosis code for Retinal edema. 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.

💡 Inclusions

Coding Guidelines for H35.81

✅ This Code Includes

  • Retinal cotton wool spots

ICD-10-CM Code Hierarchy

Understanding where H35.81 sits in the ICD-10-CM classification helps ensure proper coding:

Related Codes

Frequently Asked Questions

Is H35.81 a billable ICD-10-CM code?

Yes, H35.81 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What does H35.81 mean?

H35.81 is the ICD-10-CM diagnosis code for "Retinal edema". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What is the parent code of H35.81?

The parent code of H35.81 is H35.8 ("Other specified retinal disorders"). H35.81 provides a more specific classification within this category.

What section is H35.81 in?

H35.81 is located in Section H30-H36 — "Disorders of choroid and retina" within Chapter 7 of the ICD-10-CM Tabular List.

When should I use H35.81?

Use H35.81 when the patients documented diagnosis matches "Retinal edema" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.

People Also Ask

What is the ICD-10 code for Retinal edema?

The ICD-10-CM code for Retinal edema is H35.81.

Can H35.81 be used for primary diagnosis?

Yes, H35.81 can be used as a primary diagnosis code since it is billable and specific.

What chapter is H35.81 in?

H35.81 is in Chapter 7 of the ICD-10-CM Tabular List.

Is H35.81 valid for 2026?

Yes, H35.81 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousH35.8Other specified retinal disordersNext →H35.82Retinal ischemia
Code Details
H35.81
Retinal edema
Billable / Specific Code
7 — Diseases of the eye and adnexa (H00-H59)
H30-H36 — Disorders of choroid and retina
2026 ICD-10-CM