H02.79
BillableOther degenerative disorders of eyelid and periocular area
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is H02.79 an HCC code?
No. H02.79 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
H02.79 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 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.
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, RAF weights, 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