H35.1
Header — not billableRetinopathy of prematurity
The ICD-10 code for retinopathy of prematurity is H35.1.
H35.1 is a non-billable header code. It groups related conditions but cannot be used on its own for reimbursement — select one of the 8 more specific codes below.
Documentation support
General coding-documentation guidance — not a substitute for payer-specific requirements or professional coding judgment.
- •This is a non-billable header code. Documentation must support a more specific child code before this diagnosis can be reported on a claim.
- •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.
Child codes under H35.1
- H35.10Retinopathy of prematurity, unspecifiednon-billable header
- H35.11Retinopathy of prematurity, stage 0non-billable header
- H35.12Retinopathy of prematurity, stage 1non-billable header
- H35.13Retinopathy of prematurity, stage 2non-billable header
- H35.14Retinopathy of prematurity, stage 3non-billable header
- H35.15Retinopathy of prematurity, stage 4non-billable header
- H35.16Retinopathy of prematurity, stage 5non-billable header
- H35.17Retrolental fibroplasianon-billable header
Related codes in this category
- H35.0Background retinopathy and retinal vascular changesnon-billable header
- H35.2Other non-diabetic proliferative retinopathynon-billable header
- H35.3Degeneration of macula and posterior polenon-billable header
- H35.4Peripheral retinal degenerationnon-billable header
- H35.5Hereditary retinal dystrophynon-billable header
- H35.6Retinal hemorrhagenon-billable header
- H35.7Separation of retinal layersnon-billable header
- H35.8Other specified retinal disordersnon-billable header
- H35.9Unspecified retinal disorder
- H35.1Retinopathy of prematuritynon-billable header