H01.82 ICD-10-CM Code: Other specified inflammation of right lower eyelid
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FY 2026 Apr update / Diseases of the eye and adnexa (H00-H59) / Disorders of eyelid, lacrimal system and orbit (H00-H05)
H01.82
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceOther specified inflammation of right lower eyelid
This code describes inflammation of the right lower eyelid that doesn't fit into other standard categories. It's used when a patient has swelling, redness, or irritation of the lower eyelid on the right side that has a specific cause the doctor wants to document.
CMS-HCC V28
00
RAF 0
CMS-HCC V24
00
RAF 0
ACA/HHS
00
RAF 0
ESRD/PACE
00
RAF 0
RXHCC
00
RAF 0
Code Trumping
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Code Book Path
Inclusion Terms
OfficialICD-10-CM does not list inclusion terms for H01.82 in this effective period.
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for H01.82 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for H01.82 in this effective period.
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for H01.82 in this effective period.
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for H01.82 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for H01.82 in this effective period.
Code Also
Official- , if applicable, infestation by Demodex mites (B88.01)
Buddy Documentation Tip
Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.
Is H01.82 an HCC code?
No. H01.82 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
H01.82 is the ICD-10-CM diagnosis code for other specified inflammation of right lower eyelid. This code describes inflammation of the right lower eyelid that doesn't fit into other standard categories. It's used when a patient has swelling, redness, or irritation of the lower eyelid on the right side that has a specific cause the doctor wants to document. H01.82 sits in the ICD-10-CM chapter for diseases of the eye and adnexa (h00-h59), within the section covering disorders of eyelid, lacrimal system and orbit (h00-h05).
H01.82 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.
Verify the laterality (right vs. left) and location (upper vs. lower eyelid) are clearly documented in the medical record before assigning this code.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for H01.82 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Verify the laterality (right vs. left) and location (upper vs. lower eyelid) are clearly documented in the medical record before assigning this code
- •Use this code only when the inflammation doesn't meet criteria for more specific conditions like blepharitis, dermatitis, or chalazion; review documentation to ensure a more specific diagnosis code isn't available