ICD-10-CM Billable Code

H35.049

Retinal micro-aneurysms, unspecified, unspecified eye

Clinical Classification Guidelines

Medical Intelligence & Overview

Retinal micro-aneurysms are tiny bulges in the small blood vessels of the retina, the light-sensitive tissue at the back of the eye. These micro-aneurysms are often associated with diabetic retinopathy but can also occur due to other eye diseases or health conditions. When these micro-aneurysms occur, they can lead to leakage of fluid or blood, potentially affecting vision if left untreated. This condition is coded as H35.049 in the International Classification of Diseases, 10th Revision (ICD-10), indicating that it involves retinal micro-aneurysms without specifying the affected eye.

Causes & Symptoms

Clinical Causes: Diabetes mellitus, especially poorly controlled diabetes Hypertension (high blood pressure) Retinal vein occlusion (blockage in retinal veins) Age-related changes in blood vessels Other vascular conditions affecting the eye Inflammatory or infectious eye diseases

Key Symptoms: Often no noticeable symptoms in early stages Mild visual disturbances, such as blurred vision Fluctuating vision quality Presence of floaters or spots in the visual field Possible slight shading or dark spots in vision

Diagnostic & Treatment

Diagnosis Path: Diagnosis typically involves a comprehensive eye examination by an ophthalmologist, which may include:

Treatment Protocols: While some retinal micro-aneurysms may not require immediate treatment, managing underlying health conditions is crucial. Treatment options include:

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is H35.049 a billable ICD-10 code?
Yes, H35.049 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report H35.049?
Clinical documentation must specify the nature of Retinal micro-aneurysms, unspecified, unspecified eye and any associated comorbidities for accurate reporting.

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