H02.65 ICD-10-CM Code: Xanthelasma of left lower eyelid
HCC Buddy Code Card
Digital ICD-10 code-book layout with official code detail, always-visible risk models, Code Trumping, and Buddy coding guidance.
FY 2026 Apr update / Diseases of the eye and adnexa (H00-H59) / Disorders of eyelid, lacrimal system and orbit (H00-H05)
H02.65
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceXanthelasma of left lower eyelid
Yellowish deposits of cholesterol under the skin of the lower eyelid on the left side, typically appearing as small bumps near the inner corner of the eye.
CMS-HCC V28
00
RAF 0
CMS-HCC V24
00
RAF 0
ACA/HHS
00
RAF 0
ESRD/PACE
00
RAF 0
RXHCC
00
RAF 0
Code Trumping
Basket needed
Code Book Path
Inclusion Terms
OfficialICD-10-CM does not list inclusion terms for H02.65 in this effective period.
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for H02.65 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for H02.65 in this effective period.
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for H02.65 in this effective period.
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for H02.65 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for H02.65 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for H02.65 in this effective period.
Buddy Documentation Tip
Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.
Is H02.65 an HCC code?
No. H02.65 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
Coder workflow notes
Get the V28 RAF + MEAT cheat sheet
One printable page: confirm a code's V28 HCC status, its RAF weight, and the MEAT your note needs to make it stick. Free, no card.
Free PDF. No card. Unsubscribe anytime.
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
H02.65 is the ICD-10-CM diagnosis code for xanthelasma of left lower eyelid. Yellowish deposits of cholesterol under the skin of the lower eyelid on the left side, typically appearing as small bumps near the inner corner of the eye. H02.65 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).
H02.65 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.
Xanthelasma is often associated with high cholesterol levels; consider querying for lipid disorder codes if not documented.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for H02.65 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Xanthelasma is often associated with high cholesterol levels; consider querying for lipid disorder codes if not documented
- •Specify laterality (left) and eyelid location (lower) to ensure accurate code selection