H35.38

Header — not billable

Toxic maculopathy

The ICD-10 code for toxic maculopathy is H35.38.

H35.38 is a non-billable header code. It groups related conditions but cannot be used on its own for reimbursement — select one of the 4 more specific codes below.

Clinical notes

Code first

This code represents a manifestation of an underlying disease. Coding convention requires the underlying (etiology) code to be sequenced first, with this code listed second.

poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4)

Use additional code

This code represents an underlying condition. When a related manifestation is also present, coding convention calls for an additional code to be listed after this one.

code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)

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.
•This code represents a manifestation. Documentation should identify the underlying condition, which must be coded first.
•If the associated manifestation or related condition noted above is also documented, an additional code should be reported alongside this one.
•As a general rule, code to the highest level of specificity supported by the documentation in the medical record.

H35.38

Clinical notes

Code first

Use additional code

Documentation support

Child codes under H35.38

Related codes in this category