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H02.029

Billable

Mechanical entropion of unspecified eye, unspecified eyelid

Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)

Is H02.029 an HCC code?

No. H02.029 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

H02.029 is the ICD-10-CM diagnosis code for mechanical entropion of unspecified eye, unspecified eyelid. An eyelid is turning inward due to mechanical causes, but the specific eye and eyelid location are not documented. H02.029 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).

H02.029 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 is the least specific mechanical entropion code; make every effort to obtain documentation of the affected eye and eyelid location.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for H02.029 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • This is the least specific mechanical entropion code; make every effort to obtain documentation of the affected eye and eyelid location.
  • If laterality and location are documented, assign a more specific code from the H02.02x series.

Code Hierarchy

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