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H15.021 ICD-10-CM Code: Brawny scleritis, right eye

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FY 2026 Apr update / Diseases of the eye and adnexa (H00-H59) / Disorders of sclera, cornea, iris and ciliary body (H15-H22)

H15.021

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

Brawny scleritis, right eye

Brawny scleritis is a severe inflammation of the white part of the eye (sclera) that causes swelling, hardening, and a characteristic brownish discoloration. This code specifically refers to this condition 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
H15.0Scleritis
H15.02Brawny scleritis
H15.021Brawny scleritis, right eye

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for H15.021 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for H15.021 in this effective period.

Related Child Codes

Official
H15.022Brawny scleritis, left eye
H15.023Brawny scleritis, bilateral
H15.029Brawny scleritis, unspecified eye

Includes

Official

ICD-10-CM does not list Includes notes for H15.021 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for H15.021 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for H15.021 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for H15.021 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for H15.021 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Verify laterality is documented in the medical record - this code is specific to the right eye, so ensure the provider has clearly indicated which eye is affected
Brawny scleritis is a serious condition that may require specialist documentation from an ophthalmologist; confirm the diagnosis is explicitly stated rather than assumed from related eye conditions

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 H15.021 an HCC code?

No. H15.021 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

H15.021 is the ICD-10-CM diagnosis code for brawny scleritis, right eye. Brawny scleritis is a severe inflammation of the white part of the eye (sclera) that causes swelling, hardening, and a characteristic brownish discoloration. This code specifically refers to this condition affecting the right eye. H15.021 sits in the ICD-10-CM chapter for diseases of the eye and adnexa (h00-h59), within the section covering disorders of sclera, cornea, iris and ciliary body (h15-h22).

H15.021 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.

Verify laterality is documented in the medical record - this code is specific to the right eye, so ensure the provider has clearly indicated which eye is affected.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for H15.021 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Verify laterality is documented in the medical record - this code is specific to the right eye, so ensure the provider has clearly indicated which eye is affected
  • Brawny scleritis is a serious condition that may require specialist documentation from an ophthalmologist; confirm the diagnosis is explicitly stated rather than assumed from related eye conditions

Child Codes

Code Hierarchy

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