What is ICD-10 code H02.819?

H02.819 is the ICD-10-CM diagnosis code for Retained foreign body in unspecified eye, unspecified eyelid. A foreign object that remains stuck in or on an eyelid when the specific eye and eyelid location are not clearly documented. H02.819 is a billable code, meaning it can be reported on a claim as a primary or secondary diagnosis when supported by documentation. H02.819 is part of the FY2026 ICD-10-CM code set published by the CMS National Center for Health Statistics and used on Medicare, Medicaid, and commercial claims in the United States.

Yes. H02.819 is a billable ICD-10-CM code that can be reported on professional and institutional claims as a primary or secondary diagnosis when the provider documentation supports the specific condition described. Billable codes in ICD-10-CM are coded to the highest level of specificity available for the documented diagnosis. H02.819 is current for fiscal year 2026 and remains in the active CMS ICD-10-CM code set published by the National Center for Health Statistics.

Which HCC does H02.819 map to under V28?

H02.819 has no payable CMS-HCC V28 mapping in the final FY2026 CMS file.

What RAF reference is published for H02.819?

H02.819 has no V28 reference coefficient because the final FY2026 source verifies no payable V28 mapping.

What is the V28 vs V24 difference for H02.819?

H02.819 has verified no payable V28 mapping in the final FY2026 source. Select a historical effective period before making any V24 comparison.

What documentation supports H02.819?

Use this code only when documentation does not specify which eye or which eyelid is affected Query the provider if possible to obtain more specific laterality information H02.819 is not a CMS-HCC V28 payment code in the verified current source, so MEAT is not the payment hook. Documentation still has to support the diagnosis if you report it.

2026 ICD-10-CM H02.819: Retained foreign body in unspecified

H02.819 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · HCC Buddy coding tools

ICD-10-CM Code View

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Code lookupH02.819

Effective periodFY2026 Apr Update (Apr 1-Sep 30)

FY 2026 Apr update / Diseases of the eye and adnexa (H00-H59) / Disorders of eyelid, lacrimal system and orbit (H00-H05)

H02.819

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Retained foreign body in unspecified eye, unspecified eyelid

A foreign object that remains stuck in or on an eyelid when the specific eye and eyelid location are not clearly documented.

Overview Risk Models Code Book Documentation Audit Notes Edition comparison

CMS-HCC V28

N/A

—

Not risk-adjusted for this model/period.

Not mapped

CMS-HCC V24

Historical

Not used for standard CY2026 Medicare Advantage payment. Select a historical period to review V24.

Not used for CY2026 payment

ACA/HHS

N/A

—

Not risk-adjusted for this model/period.

Not mapped

ESRD/PACE

N/A

—

Not risk-adjusted for this model/period.

Not mapped

RXHCC

N/A

—

Not risk-adjusted for this model/period.

Not mapped

Code Book Path

Official

H02.8Other specified disorders of eyelid H02.81Retained foreign body in eyelid H02.819Retained foreign body in unspecified eye, unspecified eyelid

Inclusion Terms

Official

No inclusion terms are included in this display for H02.819. Check the code and parent instructions in the Code Book.

Excludes 2

Official

certain conditions originating in the perinatal period (P04-P96)Inherited from H00-H59, H00-H05
certain infectious and parasitic diseases (A00-B99)Inherited from H00-H59, H00-H05
complications of pregnancy, childbirth and the puerperium (O00-O9A)Inherited from H00-H59, H00-H05
congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)Inherited from H00-H59, H00-H05
diabetes mellitus related eye conditions (E09.3-, E10.3-, E11.3-, E13.3-)Inherited from H00-H59, H00-H05
endocrine, nutritional and metabolic diseases (E00-E88)Inherited from H00-H59, H00-H05
injury (trauma) of eye and orbit (S05.-)Inherited from H00-H59, H00-H05
injury, poisoning and certain other consequences of external causes (S00-T88)Inherited from H00-H59, H00-H05
neoplasms (C00-D49)Inherited from H00-H59, H00-H05
symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)Inherited from H00-H59, H00-H05
syphilis related eye disorders (A50.01, A50.3-, A51.43, A52.71)Inherited from H00-H59, H00-H05
open wound of eyelid (S01.1-)Inherited from H00-H59, H00-H05
superficial injury of eyelid (S00.1-, S00.2-)Inherited from H00-H59, H00-H05

Related Codes

Official

H02.811Retained foreign body in right upper eyelid H02.812Retained foreign body in right lower eyelid H02.813Retained foreign body in right eye, unspecified eyelid H02.814Retained foreign body in left upper eyelid H02.815Retained foreign body in left lower eyelid

Includes

Official

No Includes notes are included in this display for H02.819. Check the code and parent instructions in the Code Book.

Excludes 1

Official

congenital malformations of eyelid (Q10.0-Q10.3)Inherited from H02, H02.81
laceration of eyelid with foreign body (S01.12-)Inherited from H02, H02.81
retained intraocular foreign body (H44.6-, H44.7-)Inherited from H02, H02.81
superficial foreign body of eyelid and periocular area (S00.25-)Inherited from H02, H02.81

Code First

Official

No Code First sequencing instructions are included in this display for H02.819. Check the code and parent instructions in the Code Book.

Use Additional

Official

code to identify the type of retained foreign body (Z18.-)Inherited from H02.81

Code Also

Official

No Code Also instructions are included in this display for H02.819. Check the code and parent instructions in the Code Book.

Buddy Documentation Tip

HCC Buddy guidance

Use this code only when documentation does not specify which eye or which eyelid is affected

Query the provider if possible to obtain more specific laterality information

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 H02.819 an HCC code?

No. H02.819 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: H02.819
Description: Retained foreign body in unspecified eye, unspecified eyelid
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

H02.819 is the ICD-10-CM diagnosis code for retained foreign body in unspecified eye, unspecified eyelid. A foreign object that remains stuck in or on an eyelid when the specific eye and eyelid location are not clearly documented. H02.819 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).

H02.819 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.

Use this code only when documentation does not specify which eye or which eyelid is affected.

HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for H02.819 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 documentation does not specify which eye or which eyelid is affected
•Query the provider if possible to obtain more specific laterality information