ICD-10 Codes Retiring September 30, 2016

This section lists the eyecare-related ICD-10 codes that will no longer be accepted for services after September 30, 2016.

Proliferative Diabetic Retinopathy

The following codes are being retired after September 30, 2016. The new codes add a digit to the end to specify laterality.

Description Unspecified

With macular edema

E08.351

Without macular edema

E08.359

Drug or chemical induced with macular edema

E09.351

Drug or chemical induced without macular edema

E09.359

With macular edema and diabetes type 1

E10.351

Without macular edema and diabetes type 1

E10.359

With macular edema and diabetes type 2

E11.351

Without macular edema and diabetes type 2

E11.359

With macular edema and other specified diabetes

E13.351

Without macular edema and other specified diabetes

E13.359

Nonproliferative Diabetic Retinopathy (Type 1)

The following codes are being retired after September 30, 2016. The new codes add a digit to the end to specify laterality.

Description Unspecified

Mild with macular edema and diabetes type 1

E10.321

Mild without macular edema and diabetes type 1

E10.329

Moderate with macular edema and diabetes type 1

E10.331

Moderate without macular edema and diabetes type 1

E10.339

Severe with macular edema and diabetes type 1

E10.341

Severe without macular edema and diabetes type 1

E10.349

Nonproliferative Diabetic Retinopathy (Type 2)

The following codes are being retired after September 30, 2016. The new codes add a digit to the end to specify laterality.

Description Unspecified

Mild with macular edema and diabetes type 2

E11.321

Mild without macular edema and diabetes type 2

E11.329

Moderate with macular edema and diabetes type 2

E11.331

Moderate without macular edema and diabetes type 2

E11.339

Severe with macular edema and diabetes type 2

E11.341

Severe without macular edema and diabetes type 2

E11.349

Nonproliferative Diabetic Retinopathy (Other)

The following codes are being retired after September 30, 2016. The new codes add a digit to the end to specify laterality.

Description Unspecified

Mild with macular edema and other specified diabetes

E13.321

Mild without macular edema and other specified diabetes

E13.329

Moderate with macular edema and other specified diabetes

E13.331

Moderate without macular edema and other specified diabetes

E13.339

Severe with macular edema and other specified diabetes

E13.341

Severe without macular edema and other specified diabetes

E13.349

Nonproliferative Diabetic Retinopathy (Due to Underlying Condition)

The following codes are being retired after September 30, 2016.

Description Unspecified

Mild with macular edema

E08.321

Mild without macular edema

E08.329

Moderate with macular edema

E08.331

Moderate without macular edema

E08.339

Severe with macular edema

E08.341

Severe without macular edema

E08.349

Nonproliferative Diabetic Retinopathy (Drug or Chemical Induced)

The following codes are being retired after September 30, 2016.

Description Unspecified

Mild with macular edema

E09.321

Mild without macular edema

E09.329

Moderate with macular edema

E09.331

Moderate without macular edema

E09.339

Severe with macular edema

E09.341

Severe without macular edema

E09.349

Retinal Vein Occlusion

The following codes are being retired after September 30, 2016. The new codes add a digit in the sixth position to further specify the condition.

Description Right Eye Left Eye Bilateral Unspecified

Central

H34.811

H34.812

H34.813

H34.819

Tributary (branch)

H34.831

H34.832

H34.833

H34.839

Age-Related Macular Degeneration

The following codes are being retired after September 30, 2016. The new codes add a digit to the end to specify laterality. Additional codes further specify the ARMD condition.

Description Unspecified

Nonexudative

H35.31

Exudative

H35.32

Primary Open-Angle Glaucoma

The following codes are being retired after September 30, 2016. The new codes add a digit to the end to specify laterality.

Description Unspecified

Stage unspecified

H40.11X0

Mild stage

H40.11X1

Moderate stage

H40.11X2

Severe Stage

H40.11X3

Indeterminate stage

H40.11X4