H02.79 ICD-10-CM Code: Other degenerative disorders of eyelid and periocular area
H02.79 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · HCC coding software
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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)
H02.79
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceOther degenerative disorders of eyelid and periocular area
Other degenerative conditions affecting the eyelid and surrounding area that are not classified elsewhere, such as tissue breakdown or deterioration of eyelid structures.
CMS-HCC V28
N/A—
Not mapped
CMS-HCC V24
HistoricalHistorical
Not used for CY2026 payment
ACA/HHS
N/A—
Not mapped
ESRD/PACE
N/A—
Not mapped
RXHCC
N/A—
Not mapped
Code Book Path
Inclusion Terms
OfficialICD-10-CM does not list inclusion terms for H02.79 in this effective period.
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for H02.79 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for H02.79 in this effective period.
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for H02.79 in this effective period.
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for H02.79 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for H02.79 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for H02.79 in this effective period.
Buddy Documentation Tip
Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →
Is H02.79 an HCC code?
No. H02.79 is a billable ICD-10-CM code with no mapping under the CMS-HCC V28 or V24 community payment models, and none under the ESRD, Part D RxHCC, or HHS-HCC models.
- Code
- H02.79
- Description
- Other degenerative disorders of eyelid and periocular area
- HCC (V28)
- No CMS-HCC V28 mapping
- RAF reference coefficient
- —
- Billable
- Yes
- Payment year
- 2026
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
H02.79 is the ICD-10-CM diagnosis code for other degenerative disorders of eyelid and periocular area. Other degenerative conditions affecting the eyelid and surrounding area that are not classified elsewhere, such as tissue breakdown or deterioration of eyelid structures. H02.79 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).
H02.79 is a billable ICD-10-CM code, but the current payload does not show a mapping under the CMS-HCC V28 or V24 community payment models, and none under the ESRD, Part D RxHCC, or HHS-HCC models. Do not assign risk adjustment value from this page when no source-backed mapping is shown; verify the applicable model and payment year.
This is a catch-all code for eyelid degenerative disorders not specifically classified; document the specific condition when possible.
HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for H02.79 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •This is a catch-all code for eyelid degenerative disorders not specifically classified; document the specific condition when possible
- •Review documentation carefully to ensure a more specific H02.7x code is not applicable before assigning this code