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ICD-10-CM H35.3222: Exudative age-related macular degeneration, left eye, with inactive choroidal neovascularization

H35.3222 is the billable ICD-10-CM code for exudative age-related macular degeneration, left eye, with inactive choroidal neovascularization, in category H35 (Other retinal disorders) of the Disorders of choroid and retina section. As a principal diagnosis it groups to MS-DRG 124 Other Disorders of the Eye with MCC or Thrombolytic Agent, MS-DRG 125 Other Disorders of the Eye without MCC (MDC 02 MDC 02: Diseases and Disorders of the Eye). It maps to HCC 300 (Exudative Macular Degeneration) in CMS-HCC V28. 25 LCD billing and coding articles list it as covered.

Compiled from CMS files by the QuickIntell RCM Editorial Team · Data effective · Method: reference methodology · Report a data correction

Data currency: ICD-10-CM code descriptions: FY2027 (effective October 1, 2026); IPPS Table 5 (MS-DRG weights): v44 FY2027 (final rule + CN3) (effective October 1, 2026); ICD-10-CM to HCC mapping: PY2027 initial ICD-10-CM mappings (dates of service 2026) (payment year 2027); Medicare Coverage Database billing and coding articles: MCD release October 8, 2026 (effective October 4, 2026). Next CMS release: FY2028 code files, effective October 1, 2027 for the ICD-10-CM code descriptions; FY2028 final rule (August 2027), effective October 1, 2027; an April 1 interim grouper update when CMS issues one for the IPPS Table 5 (MS-DRG weights); PY2028 advance notice (February 2027) and the PY2027 midyear final mapping (spring 2027) for the ICD-10-CM to HCC mapping; weekly, every Thursday for the Medicare Coverage Database billing and coding articles.

Code
H35.3222
billable FY2027 ICD-10-CM code
Category
H35 Other retinal disorders
Chapter
7: Diseases of the eye and adnexa (H00-H59)
CC/MCC (MS-DRG v44)
Neither
CMS-HCC V28
HCC 300
POA reporting
Required

Tabular list notes for H35.3222

The tabular list has no notes on H35.3222 itself; the notes below apply from its parent headings.

Inherited from H35 (Other retinal disorders)

Excludes2 (not part of this condition, may be coded together)
  • diabetic retinal disorders (E08.311-E08.359, E09.311-E09.359, E10.311-E10.359, E11.311-E11.359, E13.311-E13.359)

Inherited from H35.32 (Exudative age-related macular degeneration)

Inclusion terms
  • Wet age-related macular degeneration

The 7th character 2 means “with inactive choroidal neovascularization”, as defined at H35.32. The same injury coded for a later encounter uses a different 7th character, so check each encounter.

MS-DRG grouping when H35.3222 is the principal diagnosis

MS-DRG v44 groups for H35.3222 as principal diagnosis
MDCMS-DRGs
02 MDC 02: Diseases and Disorders of the Eye124125

The final group also depends on procedures, secondary diagnoses and discharge status; the MS-DRG lookup for H35.3222 shows the full grouping logic.

CC/MCC status and inpatient edits

H35.3222 is neither a CC nor an MCC under MS-DRG v44, so as a secondary diagnosis it does not raise the MS-DRG severity level. Check H35.3222 against a principal diagnosis.

  • Present on admission: a POA indicator is required on inpatient claims.
  • Medicare Code Editor: age conflict: adult diagnosis (age 15 to 124).

CMS-HCC V28 risk adjustment

In the PY2027 mapping, H35.3222 maps to HCC 300 (Exudative Macular Degeneration). The HCC lookup shows the RAF weight and the hierarchy.

LCD billing and coding articles that list H35.3222

25 current Medicare billing and coding articles list H35.3222 among the diagnoses that support medical necessity for the services they cover.

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Frequently asked questions

What does ICD-10-CM H35.3222 mean?

H35.3222 means exudative age-related macular degeneration, left eye, with inactive choroidal neovascularization. It is one of 25 billable codes under H35, other retinal disorders.

Which MS-DRG does H35.3222 group to?

As the principal diagnosis, H35.3222 groups to MS-DRG 124 Other Disorders of the Eye with MCC or Thrombolytic Agent, MS-DRG 125 Other Disorders of the Eye without MCC (MDC 02 MDC 02: Diseases and Disorders of the Eye) under MS-DRG v44, before procedures and secondary diagnoses are applied.

Does H35.3222 map to an HCC?

Yes: HCC 300, Exudative Macular Degeneration, in the PY2027 CMS-HCC V28 mapping.

Sources

Every figure on this page is taken from the CMS publications below, as released by the Centers for Medicare & Medicaid Services. Projection built 2026-10-10. Verify against the primary file before billing or contracting decisions. The reference methodology explains how each figure is computed from these files.

Disclaimer

The descriptor and notes are reproduced from the FY2027 ICD-10-CM files; MS-DRG, CC/MCC and HCC facts come from the CMS FY2027 and PY2027 tables. Code from the medical record and the ICD-10-CM Official Guidelines. Not legal, clinical or billing advice.

Found a figure that does not match the CMS file? Report a data correction with the CMS file and the value you expected; the request reaches the editorial team through the contact form.