ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 H35.072

Billable / Specific

Retinal telangiectasis, left eye

H35
Block
0
Synonyms
177
LCDs
28
Payer Policies
0
Linked CPTs

About ICD-10-CM H35.072

ICD-10-CM code H35.072 represents Retinal telangiectasis, left eye. This is a billable/specific code in the Eye and Adnexa chapter (block H35). The 2026 edition of ICD-10-CM H35.072 became effective on October 1, 2025.

Medicare LCD Coverage for H35.072

Local Coverage Determinations (LCDs) from CMS MACs that list H35.072 as a covered diagnosis.

177 LCDs

Showing top 10 of 177 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
Article ID: 53060, Effective: 2025-10-01 00:00:00, 1692 covered, 0 non-covered
CPT 92201 →
CMS LCD: Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
Article ID: 53060, Effective: 2025-10-01 00:00:00, 1692 covered, 0 non-covered
CPT 92250 →
CMS LCD: Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
Article ID: 53060, Effective: 2025-10-01 00:00:00, 1692 covered, 0 non-covered
CPT 92202 →
CMS LCD: Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
Article ID: 53060, Effective: 2025-10-01 00:00:00, 1692 covered, 0 non-covered
CPT 92227 →
CMS LCD: Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
Article ID: 53060, Effective: 2025-10-01 00:00:00, 1692 covered, 0 non-covered
CPT 92228 →
CMS LCD: Billing and Coding: Electroretinography (ERG)
Article ID: 57677, Effective: 2024-10-01 00:00:00, 653 covered, 1 non-covered
CPT 92274 →
CMS LCD: Billing and Coding: Electroretinography (ERG)
Article ID: 57677, Effective: 2024-10-01 00:00:00, 653 covered, 1 non-covered
CPT 0509T →
CMS LCD: Billing and Coding: Electroretinography (ERG)
Article ID: 57677, Effective: 2024-10-01 00:00:00, 653 covered, 1 non-covered
CPT 92273 →
CMS LCD: Billing and Coding: Intraocular Bevacizumab
Article ID: 53008, Effective: 2025-11-06 00:00:00, 341 covered, 0 non-covered
CPT 92134 →
CMS LCD: Billing and Coding: Intraocular Bevacizumab
Article ID: 53008, Effective: 2025-11-06 00:00:00, 341 covered, 0 non-covered
CPT 67028 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing H35.072.

28 policies

5 Medicare

Billing and Coding: Intraocular Bevacizumab
Policy ID: ART-53008
Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
Policy ID: ART-53060
Billing and Coding: Cataract Extraction
Policy ID: ART-56453
Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
Policy ID: ART-56537
Billing and Coding: Cataract Extraction
Policy ID: ART-56544

CPT Codes Commonly Billed with H35.072

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for H35.072

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

Convert H35.072 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
H35.072 36215 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 H35.072, Billing FAQ

Is ICD-10 code H35.072 billable? +

Yes, H35.072 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What ICD-9 codes does H35.072 map to? +

Per CMS GEMs, H35.072 maps to ICD-9 codes: 36215. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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