ICD-10 H35.52
Billable / SpecificPigmentary retinal dystrophy
About ICD-10-CM H35.52
ICD-10-CM code H35.52 represents Pigmentary retinal dystrophy. This is a billable/specific code in the Eye and Adnexa chapter (block H35). The 2026 edition of ICD-10-CM H35.52 became effective on October 1, 2025.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under H35.52. Per CMS ICD-10-CM Tabular 2026.
- Albipunctate retinal dystrophy
- Retinitis pigmentosa
- Tapetoretinal dystrophy
Medicare LCD Coverage for H35.52
Local Coverage Determinations (LCDs) from CMS MACs that list H35.52 as a covered diagnosis.
Showing top 10 of 78 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing H35.52.
5 Medicare
CPT Codes Commonly Billed with H35.52
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 0100T CMS LCD: Billing and Coding: ArgusM II Retinal Prosthesis System CMS LCD
- L8608 CMS LCD: Billing and Coding: ArgusM II Retinal Prosthesis System CMS LCD
- 67299 CMS LCD: Billing and Coding: Voretigene Neparvovec-rzyl (Luxturna�) CMS LCD
- J3398 CMS LCD: Billing and Coding: Voretigene Neparvovec-rzyl (Luxturna�) CMS LCD
- 67036 CMS LCD: Billing and Coding: Voretigene Neparvovec-rzyl (Luxturna�) CMS LCD
Convert H35.52 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 |
|---|---|---|
| H35.52 | 36274 | 00000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To H35.52
Other codes in section H30-H36 (Disorders of choroid and retina).
ICD-10 H35.52, Billing FAQ
Is ICD-10 code H35.52 billable? +
Yes, H35.52 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What other names or terms map to H35.52? +
ICD-10 H35.52 includes: Albipunctate retinal dystrophy; Retinitis pigmentosa; Tapetoretinal dystrophy.
What CPT codes are commonly billed with H35.52? +
Procedures frequently paired with H35.52 include: 0100T, L8608, 67299, J3398, 67036.
What ICD-9 codes does H35.52 map to? +
Per CMS GEMs, H35.52 maps to ICD-9 codes: 36274. 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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