H02.724 ICD-10-CM Code: Madarosis of left upper 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)
H02.724
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceMadarosis of left upper eyelid and periocular area
Loss of eyelashes on the left upper eyelid and surrounding eye area.
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- Hypotrichosis of eyelid
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for H02.724 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for H02.724 in this effective period.
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for H02.724 in this effective period.
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for H02.724 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for H02.724 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for H02.724 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 H02.724 an HCC code?
No. H02.724 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
H02.724 is the ICD-10-CM diagnosis code for madarosis of left upper eyelid and periocular area. Loss of eyelashes on the left upper eyelid and surrounding eye area. H02.724 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).
H02.724 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.
Ensure correct laterality coding (left vs. right) to avoid claim denials.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for H02.724 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Ensure correct laterality coding (left vs. right) to avoid claim denials
- •Consider if condition is secondary to another diagnosis that should be coded separately