Question 1

What is ICD-10 code H02.889?

Accepted Answer

H02.889 is the ICD-10-CM diagnosis code for meibomian gland dysfunction of unspecified eye, unspecified eyelid. A condition affecting the oil-producing glands of the eye when neither the specific eye nor the eyelid location is documented. H02.889 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).

H02.889 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 the least specific code; attempt to obtain laterality and eyelid location from documentation.

Question 2

Is H02.889 an HCC code?

Accepted Answer

No. H02.889 is a billable ICD-10-CM code but does not map to any payment HCC category under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can still be reported on Medicare Advantage encounter data submissions, but it does not contribute to the beneficiary's Risk Adjustment Factor (RAF) score and therefore does not affect the risk-adjusted capitation payment to the plan. V28 reached 100% phase-in for payment year 2026.

Question 3

Is H02.889 billable?

Accepted Answer

Yes. H02.889 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. H02.889 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.

Question 4

What is the V28 vs V24 difference for H02.889?

Accepted Answer

H02.889 does not map to a payment HCC under either the CMS-HCC V28 risk adjustment model or the older V24 model. V28 reached 100% phase-in for payment year 2026, replacing V24 which was used during the PY2024–PY2025 transition. Because neither model rewards H02.889 with a risk adjustment factor, it contributes zero to a Medicare Advantage beneficiary's RAF score in either version. Coders should check whether provider documentation supports a more specific child code that does map to a payment HCC.

Question 5

What should coders know when reporting H02.889?

Accepted Answer

This is the least specific code; attempt to obtain laterality and eyelid location from documentation Use only when information is truly unavailable or when bilateral involvement is present

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H02.889

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H02.889 ICD-10-CM Code: Meibomian gland dysfunction of unspecified eye, unspecified eyelid

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H02.889

Is H02.889 an HCC code?

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Work H02.889 in HCC Buddy