ICD-10 Code H35.1 – Retinopathy of Prematurity (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Retinopathy of prematurity is H35.1.
2026 ICD-10-CM Diagnosis Code H35.1 – Retinopathy of prematurity

What it is

H35.1 identifies retinopathy of prematurity, an eye disorder seen in premature infants. It reflects abnormal retinal blood vessel development and may range from mild changes to vision-threatening disease.

Clinical signs

Clinical features vary; refer to documentation. Common findings include retinal vascular immaturity, plus documented staging or zone findings from eye examinations in premature infants.

When to use this code

Use H35.1 when the provider documents retinopathy of prematurity, ROP, or a specific stage of the condition. It is appropriate for neonatal ophthalmology follow-up and coded based on the confirmed diagnosis. Check documentation if the note only mentions prematurity without retinal disease.

Do not use for

Do not use this code for general prematurity, nonspecific neonatal eye screening, or other retinal disorders without ROP documentation. If the record is unclear, check documentation.

Coding tip

Capture the provider’s exact ROP wording, including stage or laterality details when documented.

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