Skip to content

H11.21 ICD-10-CM Code: Conjunctival adhesions and strands (localized)

ICD-10-CM Code View

HCC Buddy Code Card

Digital ICD-10 code-book layout with official code detail, always-visible risk models, Code Trumping, and Buddy coding guidance.

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

H11.21

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Conjunctival adhesions and strands (localized)

Conjunctival adhesions and strands (localized)

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

Basket needed

Code Book Path

Official
H11Other disorders of conjunctiva
H11.2Conjunctival scars
H11.21Conjunctival adhesions and strands (localized)

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for H11.21 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for H11.21 in this effective period.

Related Child Codes

Official
H11.211Conjunctival adhesions and strands (localized), right eye
H11.212Conjunctival adhesions and strands (localized), left eye
H11.213Conjunctival adhesions and strands (localized), bilateral
H11.219Conjunctival adhesions and strands (localized), unspecified eye

Includes

Official

ICD-10-CM does not list Includes notes for H11.21 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for H11.21 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for H11.21 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for H11.21 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for H11.21 in this effective period.

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.

Coder workflow notes

Get the V28 RAF + MEAT cheat sheet

One printable page: confirm a code's V28 HCC status, its RAF weight, and the MEAT your note needs to make it stick. Free, no card.

Free PDF. No card. Unsubscribe anytime.

What This Code Means

H11.21 is the ICD-10-CM diagnosis code for conjunctival adhesions and strands (localized). H11.21 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).

Header codes like H11.21 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at H11.21's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for H11.21 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Child Codes

Code Hierarchy

Work H11.21 in HCC Buddy

Open H11.21 in the Code Book for the full Index-to-Tabular path, MEAT checklist, and V28 HCC mapping, or in the Encoder to code from a keyword search. Pro includes 14 days to try everything.