ICD-10 Code H35.379 – Puckering of macula, unspecified eye (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Puckering of macula, unspecified eye is H35.379.
2026 ICD-10-CM Diagnosis Code H35.379 – Puckering of macula, unspecified eye

What it is

Use this code for a macular pucker, also called an epiretinal membrane, when the affected eye is not specified. It describes wrinkling or traction on the macula that can distort central vision.

Clinical signs

Common findings include blurred or distorted central vision, metamorphopsia, and reduced visual acuity. Clinical features vary; refer to documentation, and confirm the eye involved when available.

When to use this code

Assign H35.379 when the provider documents macular pucker, epiretinal membrane, or similar wording and does not identify right or left eye. Use it for confirmed retinal findings, not for vague complaints alone. If the record specifies the eye, use the laterality-specific code instead.

Do not use for

Do not use this code for unspecified visual disturbance without a documented macular pucker. Do not use it when the chart clearly identifies the right or left eye.

Coding tip

Check the ophthalmology note for laterality before coding, because unspecified eye codes should be used only when documentation truly lacks that detail.

Similar Posts

Leave a Reply

Your email address will not be published. Required fields are marked *