D72.119 ICD-10-CM Code: Hypereosinophilic syndrome [HES], unspecified
D72.119 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · free HCC 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)
D72.119
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceHypereosinophilic syndrome [HES], unspecified
A serious condition with persistently elevated eosinophils causing organ damage, but the specific type or cause is not specified.
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
OfficialICD-10-CM does not list inclusion terms for D72.119 in this effective period.
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for D72.119 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for D72.119 in this effective period.
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for D72.119 in this effective period.
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for D72.119 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for D72.119 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for D72.119 in this effective period.
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 D72.119 an HCC code?
No. D72.119 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
- Code
- D72.119
- Description
- Hypereosinophilic syndrome [HES], unspecified
- 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
D72.119 is the ICD-10-CM diagnosis code for hypereosinophilic syndrome [hes], unspecified. A serious condition with persistently elevated eosinophils causing organ damage, but the specific type or cause is not specified. D72.119 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).
D72.119 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.
Use this code only when hypereosinophilic syndrome is documented but cannot be classified as IHES or LHES.
HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for D72.119 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Use this code only when hypereosinophilic syndrome is documented but cannot be classified as IHES or LHES.
- •Query the provider if additional testing or classification information is available to assign a more specific code.