H35.3291 Exudative age-related macular degeneration, unspecified eye, with active choroidal neovascularization

Billable ICD-10-CM code, FY2026.

Built from H35.329 with 7th character 1 (with active choroidal neovascularization).

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

• H35.3231 Exudative age-related macular degeneration, bilateral, with active choroidal neovascularization
• H35.3232 Exudative age-related macular degeneration, bilateral, with inactive choroidal neovascularization
• H35.3233 Exudative age-related macular degeneration, bilateral, with inactive scar
• H35.329 Exudative age-related macular degeneration, unspecified eye
• H35.3290 Exudative age-related macular degeneration, unspecified eye, stage unspecified
• H35.3291 Exudative age-related macular degeneration, unspecified eye, with active choroidal neovascularization (this code)
• H35.3292 Exudative age-related macular degeneration, unspecified eye, with inactive choroidal neovascularization
• H35.3293 Exudative age-related macular degeneration, unspecified eye, with inactive scar
• H35.33 Angioid streaks of macula
• H35.34 Macular cyst, hole, or pseudohole
• H35.341 Macular cyst, hole, or pseudohole, right eye