H35.3213 Exudative age-related macular degeneration, right eye, with inactive scar

Billable ICD-10-CM code, FY2026.

Built from H35.321 with 7th character 3 (with inactive scar).

Applies from H35 Other retinal disorders

Excludes2 (not included here)

• diabetic retinal disorders (E08.311-E08.359, E09.311-E09.359, E10.311-E10.359, E11.311-E11.359, E13.311-E13.359)

Applies from H35.32 Exudative age-related macular degeneration

Applicable to

• Wet age-related macular degeneration

7th character note

• One of the following 7th characters is to be assigned to codes in subcategory H35.32 to designate the stage of the disease:

7th character required

• 0 — stage unspecified
• 1 — with active choroidal neovascularization
• 2 — with inactive choroidal neovascularization
• 3 — with inactive scar

Risk adjustment (HCC)

• CMS-HCC V28: HCC 300 — Exudative Macular Degeneration
• CMS-HCC V22: HCC 124 — Exudative Macular Degeneration
• ESRD V24: HCC 124

Medicare Code Edits (MCE v43.1 (April 2026))

• Adult diagnoses (age 15 through 124): Age conflict edit. These diagnoses are clinically expected only in patients age 15 through 124.

Nearby codes

• H35.32 Exudative age-related macular degeneration
• H35.321 Exudative age-related macular degeneration, right eye
• H35.3210 Exudative age-related macular degeneration, right eye, stage unspecified
• H35.3211 Exudative age-related macular degeneration, right eye, with active choroidal neovascularization
• H35.3212 Exudative age-related macular degeneration, right eye, with inactive choroidal neovascularization
• H35.3213 Exudative age-related macular degeneration, right eye, with inactive scar (this code)
• H35.322 Exudative age-related macular degeneration, left eye
• H35.3220 Exudative age-related macular degeneration, left eye, stage unspecified
• H35.3221 Exudative age-related macular degeneration, left eye, with active choroidal neovascularization
• H35.3222 Exudative age-related macular degeneration, left eye, with inactive choroidal neovascularization
• H35.3223 Exudative age-related macular degeneration, left eye, with inactive scar