Puckering of macula, right eye

This code signifies the presence of an epiretinal membrane (ERM) or macular pucker affecting the right eye. This condition involves the formation of a thin, fibrous layer of scar tissue on the surface of the macula, leading to distortion or wrinkling of the retinal surface. It can cause visual symptoms such as blurred vision, metamorphopsia (distorted vision), or scotomas.

Apply this code when documentation explicitly states "puckering of macula, right eye" or "epiretinal membrane, right eye." This diagnosis is typically made during an ophthalmic examination, often confirmed by optical coherence tomography (OCT) imaging showing the presence of an ERM.

• Ensure laterality is clearly documented (right eye). If both eyes are affected, separate codes for each eye (H35.371 and H35.372) or a bilateral code (H35.373) should be used.
• Do not confuse with macular hole (H35.31-) or other macular degenerations (H35.30).
• Code any associated visual disturbances (e.g., H53.1-, H53.4-) as secondary diagnoses if documented.