D72.111 ICD-10-CM Code: Lymphocytic Variant Hypereosinophilic Syndrome [LHES]
D72.111 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · HCC Buddy coding tools
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FY 2026 Apr update / Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50-D89) / Other disorders of blood and blood-forming organs (D70-D77)
D72.111
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceLymphocytic Variant Hypereosinophilic Syndrome [LHES]
A variant of hypereosinophilic syndrome where abnormal T lymphocytes are the primary driver of elevated eosinophil levels.
CMS-HCC V28
N/A—
Not mapped
CMS-HCC V24
N/A—
Not mapped
ACA/HHS
N/A—
Not mapped
ESRD/PACE
N/A—
Not mapped
RXHCC
N/A—
Not mapped
Code Book Path
Inclusion Terms
Official- Lymphocyte variant hypereosinophilia
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for D72.111 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for D72.111 in this effective period.
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for D72.111 in this effective period.
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for D72.111 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for D72.111 in this effective period.
Code Also
Official- , if applicable, any associated lymphocytic neoplastic disorder
Buddy Documentation Tip
Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →
Is D72.111 an HCC code?
No. D72.111 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
- Code
- D72.111
- Description
- Lymphocytic Variant Hypereosinophilic Syndrome [LHES]
- HCC (V28)
- No CMS-HCC V28 mapping
- RAF reference coefficient
- —
- Billable
- Yes
- Payment year
- 2026
Coder workflow notes
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This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
D72.111 is the ICD-10-CM diagnosis code for lymphocytic variant hypereosinophilic syndrome [lhes]. A variant of hypereosinophilic syndrome where abnormal T lymphocytes are the primary driver of elevated eosinophil levels. D72.111 sits in the ICD-10-CM chapter for diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (d50-d89), within the section covering other disorders of blood and blood-forming organs (d70-d77).
D72.111 is a billable ICD-10-CM code, but the current payload does not show a mapping under the CMS-HCC V28, V24, ESRD, or RxHCC models. Do not assign risk adjustment value from this page when no source-backed mapping is shown; verify the applicable model and payment year.
LHES requires documentation of T-cell clonality or abnormality; verify flow cytometry or genetic testing results are documented.
HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for D72.111 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •LHES requires documentation of T-cell clonality or abnormality; verify flow cytometry or genetic testing results are documented.
- •This is more specific than the unspecified HES code and should be used when lymphocytic involvement is confirmed.
Code Also
- , if applicable, any associated lymphocytic neoplastic disorder