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H11.121 ICD-10-CM Code: Conjunctival concretions, right eye

H11.121 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · HCC coding software

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

H11.121

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

Conjunctival concretions, right eye

Hard, stone-like deposits that form on the clear membrane covering the white part of the right eye.

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

Historical

Historical

Not used for CY2026 payment

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
H11.1Conjunctival degenerations and deposits
H11.12Conjunctival concretions
H11.121Conjunctival concretions, right eye

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for H11.121 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for H11.121 in this effective period.

Related Child Codes

Official
H11.122Conjunctival concretions, left eye
H11.123Conjunctival concretions, bilateral
H11.129Conjunctival concretions, unspecified eye

Includes

Official

ICD-10-CM does not list Includes notes for H11.121 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for H11.121 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for H11.121 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for H11.121 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for H11.121 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Conjunctival concretions are distinct from deposits and represent calcified or hardened material
Document whether these are causing symptoms or affecting vision, as this may impact clinical management

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 H11.121 an HCC code?

No. H11.121 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
H11.121
Description
Conjunctival concretions, right eye
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

H11.121 is the ICD-10-CM diagnosis code for conjunctival concretions, right eye. Hard, stone-like deposits that form on the clear membrane covering the white part of the right eye. H11.121 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).

H11.121 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.

Conjunctival concretions are distinct from deposits and represent calcified or hardened material.

HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for H11.121 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Conjunctival concretions are distinct from deposits and represent calcified or hardened material
  • Document whether these are causing symptoms or affecting vision, as this may impact clinical management

Child Codes

Code Hierarchy

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