H02.813 ICD-10-CM Code: Retained foreign body in right eye, unspecified eyelid
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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)
H02.813
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceRetained foreign body in right eye, unspecified eyelid
A foreign object that remains embedded in or on the right eye's eyelid when the specific eyelid location (upper or lower) is not documented.
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
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Inclusion Terms
OfficialICD-10-CM does not list inclusion terms for H02.813 in this effective period.
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for H02.813 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for H02.813 in this effective period.
Excludes 1
Official- laceration of eyelid with foreign body (S01.12-)
- retained intraocular foreign body (H44.6-, H44.7-)
- superficial foreign body of eyelid and periocular area (S00.25-)
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for H02.813 in this effective period.
Use Additional
Official- code to identify the type of retained foreign body (Z18.-)
Code Also
OfficialICD-10-CM does not list Code Also instructions for H02.813 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 H02.813 an HCC code?
No. H02.813 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
H02.813 is the ICD-10-CM diagnosis code for retained foreign body in right eye, unspecified eyelid. A foreign object that remains embedded in or on the right eye's eyelid when the specific eyelid location (upper or lower) is not documented. H02.813 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).
H02.813 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.
Use this code only when the specific eyelid location cannot be determined from documentation.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for H02.813 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Use this code only when the specific eyelid location cannot be determined from documentation
- •Query provider to determine if upper or lower eyelid is affected for more specific coding