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H10.531 ICD-10-CM Code: Contact blepharoconjunctivitis, right eye

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

H10.531

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

Contact blepharoconjunctivitis, right eye

Inflammation of the eyelid and conjunctiva caused by contact with an irritant or allergen, affecting the right eye.

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
H10.5Blepharoconjunctivitis
H10.53Contact blepharoconjunctivitis
H10.531Contact blepharoconjunctivitis, right eye

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for H10.531 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for H10.531 in this effective period.

Related Child Codes

Official
H10.532Contact blepharoconjunctivitis, left eye
H10.533Contact blepharoconjunctivitis, bilateral
H10.539Contact blepharoconjunctivitis, unspecified eye

Includes

Official

ICD-10-CM does not list Includes notes for H10.531 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for H10.531 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for H10.531 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for H10.531 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for H10.531 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Document the causative agent (contact lens solution, cosmetics, chemicals) when available for more complete clinical documentation
Ensure laterality is clearly specified as right eye; do not use this code for bilateral or unspecified cases

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 H10.531 an HCC code?

No. H10.531 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

H10.531 is the ICD-10-CM diagnosis code for contact blepharoconjunctivitis, right eye. Inflammation of the eyelid and conjunctiva caused by contact with an irritant or allergen, affecting the right eye. H10.531 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).

H10.531 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.

Document the causative agent (contact lens solution, cosmetics, chemicals) when available for more complete clinical documentation.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for H10.531 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Document the causative agent (contact lens solution, cosmetics, chemicals) when available for more complete clinical documentation
  • Ensure laterality is clearly specified as right eye; do not use this code for bilateral or unspecified cases

Child Codes

Code Hierarchy

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