ICD-10 H35.122
Billable / SpecificRetinopathy of prematurity, stage 1, left eye
About ICD-10-CM H35.122
ICD-10-CM code H35.122 represents Retinopathy of prematurity, stage 1, left eye. This is a billable/specific code in the Eye and Adnexa chapter (block H35). The 2026 edition of ICD-10-CM H35.122 became effective on October 1, 2025.
Medicare LCD Coverage for H35.122
Local Coverage Determinations (LCDs) from CMS MACs that list H35.122 as a covered diagnosis.
Showing top 10 of 69 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing H35.122.
5 Medicare
CPT Codes Commonly Billed with H35.122
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
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 H35.122 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| H35.122 | 36223 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To H35.122
Other codes in section H30-H36 (Disorders of choroid and retina).
ICD-10 H35.122, Billing FAQ
Is ICD-10 code H35.122 billable? +
Yes, H35.122 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What ICD-9 codes does H35.122 map to? +
Per CMS GEMs, H35.122 maps to ICD-9 codes: 36223. 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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