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H02.88B ICD-10-CM Code: Meibomian gland dysfunction left eye, upper and lower eyelids

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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)

H02.88B

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

Meibomian gland dysfunction left eye, upper and lower eyelids

A condition where the oil-producing glands in both the upper and lower eyelids of the left eye are not functioning properly.

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
H02.8Other specified disorders of eyelid
H02.88Meibomian gland dysfunction of eyelid
H02.88BMeibomian gland dysfunction left eye, upper and lower eyelids

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for H02.88B in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for H02.88B in this effective period.

Related Child Codes

Official
H02.881Meibomian gland dysfunction right upper eyelid
H02.882Meibomian gland dysfunction right lower eyelid
H02.883Meibomian gland dysfunction of right eye, unspecified eyelid
H02.884Meibomian gland dysfunction left upper eyelid
H02.885Meibomian gland dysfunction left lower eyelid

Includes

Official

ICD-10-CM does not list Includes notes for H02.88B in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for H02.88B in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for H02.88B in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for H02.88B in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for H02.88B in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Use this code when both eyelids of the left eye are affected rather than coding separately
Ensure documentation reflects involvement of both upper and lower eyelids

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 H02.88B an HCC code?

No. H02.88B is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

Code
H02.88B
Description
Meibomian gland dysfunction left eye, upper and lower eyelids
HCC (V28)
No CMS-HCC V28 mapping
RAF
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

H02.88B is the ICD-10-CM diagnosis code for meibomian gland dysfunction left eye, upper and lower eyelids. A condition where the oil-producing glands in both the upper and lower eyelids of the left eye are not functioning properly. H02.88B 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).

H02.88B 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 when both eyelids of the left eye are affected rather than coding separately.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for H02.88B sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Use this code when both eyelids of the left eye are affected rather than coding separately
  • Ensure documentation reflects involvement of both upper and lower eyelids

Child Codes

Code Hierarchy

H02.88B code history

Code setChange
FY2019 (effective Oct 1, 2018)Added to the code set

Source: official CMS ICD-10-CM order and addenda files, FY2016 through FY2027.

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