H02.122
BillableMechanical 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 H02.122 an HCC code?
No. H02.122 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
H02.122 is the ICD-10-CM diagnosis code for mechanical ectropion of right lower eyelid. The lower eyelid on the right side is turning outward away from the eye due to mechanical causes such as weakness, laxity, or loss of tone. H02.122 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).
H02.122 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.
Mechanical ectropion of the lower lid is common in elderly patients due to age-related tissue changes.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for H02.122 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Mechanical ectropion of the lower lid is common in elderly patients due to age-related tissue changes
- •Consider coding associated conditions that may contribute to eyelid laxity