H02.023
BillableMechanical entropion of right eye, unspecified eyelid
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is H02.023 an HCC code?
No. H02.023 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
H02.023 is the ICD-10-CM diagnosis code for mechanical entropion of right eye, unspecified eyelid. The right eye has an inturned eyelid due to mechanical causes, but the specific eyelid (upper or lower) is not specified. H02.023 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).
H02.023 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.
This code should only be used when the specific eyelid location cannot be determined; query for clarification on whether upper or lower eyelid is affected.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for H02.023 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.