H02.006
BillableUnspecified entropion of left eye, unspecified eyelid
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is H02.006 an HCC code?
No. H02.006 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
H02.006 is the ICD-10-CM diagnosis code for unspecified entropion of left eye, unspecified eyelid. The eyelid of the left eye turns inward toward the eye surface, but the specific cause and eyelid location are not identified. H02.006 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).
H02.006 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.
Use when entropion of the left eye is documented without specifying upper or lower lid.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for H02.006 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.