ICD-10 Code H35.031 – Hypertensive retinopathy, right eye (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Hypertensive retinopathy, right eye is H35.031.
2026 ICD-10-CM Diagnosis Code H35.031 – Hypertensive retinopathy, right eye

What it is

This code identifies hypertensive retinal changes limited to the right eye. It is used when high blood pressure has caused damage or vascular changes seen in that eye.

Clinical signs

Findings may include retinal arteriolar narrowing, hemorrhages, exudates, cotton-wool spots, or optic disc swelling. Clinical features vary; refer to documentation.

When to use this code

Use H35.031 when the provider documents hypertensive retinopathy in the right eye, with or without laterality-specific ophthalmic findings. Code it when the retinal changes are attributed to hypertension and the right eye is specified. If the note only says “hypertensive retinopathy” without eye laterality, check documentation.

Do not use for

Do not use this code for hypertensive retinopathy of the left eye, both eyes, or unspecified eye. Also avoid it when retinal changes are due to another cause, such as diabetes or vascular occlusion.

Coding tip

Always verify laterality in the ophthalmology note before assigning H35.031.

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