H02.715 ICD-10-CM Code: Chloasma of left lower eyelid and periocular area
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FY 2026 Apr update / Diseases of the eye and adnexa (H00-H59) / Disorders of eyelid, lacrimal system and orbit (H00-H05)
H02.715
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceChloasma of left lower eyelid and periocular area
Brown or grayish skin discoloration on the lower eyelid and surrounding area of the left eye, typically resulting from sun exposure or hormonal factors.
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
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Code Book Path
Inclusion Terms
Official- Dyspigmentation of eyelid
- Hyperpigmentation of eyelid
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for H02.715 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for H02.715 in this effective period.
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for H02.715 in this effective period.
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for H02.715 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for H02.715 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for H02.715 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 H02.715 an HCC code?
No. H02.715 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
Coder workflow notes
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This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
H02.715 is the ICD-10-CM diagnosis code for chloasma of left lower eyelid and periocular area. Brown or grayish skin discoloration on the lower eyelid and surrounding area of the left eye, typically resulting from sun exposure or hormonal factors. H02.715 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).
H02.715 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 both laterality (left) and eyelid location (lower) are clearly documented before code assignment.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for H02.715 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Verify both laterality (left) and eyelid location (lower) are clearly documented before code assignment
- •Note any associated risk factors or triggers in the medical record for clinical context