H02.132
BillableSenile 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 H02.132 an HCC code?
No. H02.132 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
H02.132 is the ICD-10-CM diagnosis code for senile ectropion of right lower eyelid. This condition occurs when the lower eyelid of the right eye turns outward away from the eye surface due to age-related weakening of the eyelid tissues. This causes the inner surface of the eyelid to be exposed, which can lead to irritation, dryness, and tearing. H02.132 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).
H02.132 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 laterality is documented as right eye; if bilateral, code both H02.131 (left) and H02.132 (right) separately.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for H02.132 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Verify laterality is documented as right eye; if bilateral, code both H02.131 (left) and H02.132 (right) separately
- •Confirm the ectropion is senile (age-related) and not due to other causes like paralysis, trauma, or cicatricial changes, as these have different codes