ICD-10 Code H35.153 – Retinopathy of Prematurity, Stage 4, Bilateral (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code H35.153 – Retinopathy of prematurity, stage 4, bilateral
What it is
H35.153 identifies retinopathy of prematurity at stage 4 in both eyes. This means abnormal retinal blood vessel growth has progressed to partial retinal detachment in each eye.
Clinical signs
Findings may include advanced prematurity-related retinal changes, traction, and partial detachment. Clinical features vary; refer to documentation and ophthalmology findings for the staged diagnosis.
When to use this code
Use H35.153 when the provider documents stage 4 retinopathy of prematurity affecting both eyes. It is appropriate when the diagnosis is confirmed by eye examination or specialist assessment. Do not infer laterality or stage from general prematurity notes.
Do not use for
Do not use this code for unspecified retinopathy of prematurity, unilateral disease, or other retinal disorders. If the stage or laterality is not documented, check documentation.
Coding tip
Code only when both stage 4 and bilateral involvement are explicitly documented.