ICD-10 Code H35.039 – Hypertensive retinopathy, unspecified eye (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Hypertensive retinopathy, unspecified eye is H35.039.
2026 ICD-10-CM Diagnosis Code H35.039 – Hypertensive retinopathy, unspecified eye

What it is

This code identifies retinal changes caused by high blood pressure when the affected eye is not specified. Use it for hypertensive damage to the retina documented without laterality.

Clinical signs

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

When to use this code

Use H35.039 when the provider documents hypertensive retinopathy but does not state right, left, or bilateral eye. It also fits notes that confirm retinal damage from hypertension without more detail.

If the record specifies a particular eye, code to the laterality-specific option instead. Check documentation when the eye involved is unclear or when another retinal disorder is the primary diagnosis.

Do not use for

Do not use this code for hypertensive eye disease without retinal involvement, or when the condition is documented in a specific eye. Check documentation for the exact ocular site.

Coding tip

Confirm both the hypertension-related retinal diagnosis and the absence of laterality before assigning H35.039.

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