H02.102
BillableUnspecified ectropion of right lower eyelid
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is H02.102 an HCC code?
No. H02.102 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
H02.102 is the ICD-10-CM diagnosis code for unspecified ectropion of right lower eyelid. The lower eyelid on the right eye is turning outward away from the eye surface, but the specific cause has not been determined. This condition can cause irritation, excessive tearing, and exposure of the inner eyelid surface. H02.102 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).
H02.102 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 whether the ectropion is specified as mechanical, paralytic, or senile in the medical record, as these have more specific codes (H02.10-, H02.11-, H02.12-) that provide better clinical detail.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for H02.102 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Verify whether the ectropion is specified as mechanical, paralytic, or senile in the medical record, as these have more specific codes (H02.10-, H02.11-, H02.12-) that provide better clinical detail
- •Confirm laterality is documented as right lower eyelid; if bilateral or affecting upper eyelid, different codes apply (H02.101 for left, H02.103 for bilateral)