ICD-10 H35.143
Billable / SpecificRetinopathy of prematurity, stage 3, bilateral
About ICD-10-CM H35.143
ICD-10-CM code H35.143 represents Retinopathy of prematurity, stage 3, bilateral. This is a billable/specific code in the Eye and Adnexa chapter (block H35). The 2026 edition of ICD-10-CM H35.143 became effective on October 1, 2025.
Medicare LCD Coverage for H35.143
Local Coverage Determinations (LCDs) from CMS MACs that list H35.143 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 H35.143.
5 Medicare
CPT Codes Commonly Billed with H35.143
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 H35.143 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 |
|---|---|---|
| H35.143 | 36225 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To H35.143
Other codes in section H30-H36 (Disorders of choroid and retina).
ICD-10 H35.143, Billing FAQ
Is ICD-10 code H35.143 billable? +
Yes, H35.143 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What ICD-9 codes does H35.143 map to? +
Per CMS GEMs, H35.143 maps to ICD-9 codes: 36225. 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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