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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)

H17.03

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

Adherent leukoma, bilateral

This condition involves scar tissue on the cornea (the clear front part of the eye) that is stuck to the inner structures of the eye, affecting both eyes. This adhesion can cause vision problems and eye discomfort.

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
H17Corneal scars and opacities
H17.0Adherent leukoma
H17.03Adherent leukoma, bilateral

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for H17.03 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for H17.03 in this effective period.

Related Child Codes

Official
H17.00Adherent leukoma, unspecified eye
H17.01Adherent leukoma, right eye
H17.02Adherent leukoma, left eye

Includes

Official

ICD-10-CM does not list Includes notes for H17.03 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for H17.03 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for H17.03 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for H17.03 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for H17.03 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Verify that the condition is documented as bilateral (affecting both eyes) before assigning this code; if only one eye is affected, use H17.01 or H17.02 instead
Ensure the medical record specifies that the leukoma is 'adherent' (meaning the scar tissue is attached to deeper eye structures) rather than just a simple corneal scar

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 H17.03 an HCC code?

No. H17.03 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

H17.03 is the ICD-10-CM diagnosis code for adherent leukoma, bilateral. This condition involves scar tissue on the cornea (the clear front part of the eye) that is stuck to the inner structures of the eye, affecting both eyes. This adhesion can cause vision problems and eye discomfort. H17.03 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).

H17.03 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 that the condition is documented as bilateral (affecting both eyes) before assigning this code; if only one eye is affected, use H17.01 or H17.02 instead.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for H17.03 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Verify that the condition is documented as bilateral (affecting both eyes) before assigning this code; if only one eye is affected, use H17.01 or H17.02 instead
  • Ensure the medical record specifies that the leukoma is 'adherent' (meaning the scar tissue is attached to deeper eye structures) rather than just a simple corneal scar

Child Codes

Code Hierarchy

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