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FY 2026 Apr update / Diseases of the eye and adnexa (H00-H59) / Disorders of conjunctiva (H10-H11)

H10.44

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

Vernal conjunctivitis

Vernal conjunctivitis is a seasonal allergic inflammation of the eye's outer membrane that typically occurs in warm weather and is more common in children and young adults. It causes itching, redness, and a thick discharge from the eyes.

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
H10Conjunctivitis
H10.4Chronic conjunctivitis
H10.44Vernal conjunctivitis

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for H10.44 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for H10.44 in this effective period.

Related Child Codes

Official
H10.40Unspecified chronic conjunctivitis
H10.41Chronic giant papillary conjunctivitis
H10.42Simple chronic conjunctivitis
H10.43Chronic follicular conjunctivitis
H10.45Other chronic allergic conjunctivitis

Includes

Official

ICD-10-CM does not list Includes notes for H10.44 in this effective period.

Excludes 1

Official
  • vernal keratoconjunctivitis with limbar and corneal involvement (H16.26-)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for H10.44 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for H10.44 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for H10.44 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Vernal conjunctivitis is seasonal in nature—document the time of year or season when the condition occurs, as this helps distinguish it from other forms of conjunctivitis
Specify laterality (right eye H10.441, left eye H10.442, or bilateral H10.443) as the code requires this detail for proper specificity

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 H10.44 an HCC code?

No. H10.44 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

H10.44 is the ICD-10-CM diagnosis code for vernal conjunctivitis. Vernal conjunctivitis is a seasonal allergic inflammation of the eye's outer membrane that typically occurs in warm weather and is more common in children and young adults. It causes itching, redness, and a thick discharge from the eyes. H10.44 sits in the ICD-10-CM chapter for diseases of the eye and adnexa (h00-h59), within the section covering disorders of conjunctiva (h10-h11).

H10.44 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.

Vernal conjunctivitis is seasonal in nature—document the time of year or season when the condition occurs, as this helps distinguish it from other forms of conjunctivitis.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for H10.44 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Vernal conjunctivitis is seasonal in nature—document the time of year or season when the condition occurs, as this helps distinguish it from other forms of conjunctivitis
  • Specify laterality (right eye H10.441, left eye H10.442, or bilateral H10.443) as the code requires this detail for proper specificity

Excludes 1 — Do NOT code together

  • vernal keratoconjunctivitis with limbar and corneal involvement (H16.26-)

Child Codes

Code Hierarchy

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