H18.323 ICD-10-CM Code: Folds in Descemet's membrane, bilateral
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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)
H18.323
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceFolds in Descemet's membrane, bilateral
This condition involves wrinkles or creases that form in Descemet's membrane, which is a thin layer inside the cornea (the clear front part of the eye), and this occurs in both eyes. These folds can affect vision clarity and may result from eye trauma, surgery, or other corneal conditions.
CMS-HCC V28
00
RAF 0
CMS-HCC V24
00
RAF 0
ACA/HHS
00
RAF 0
ESRD/PACE
00
RAF 0
RXHCC
00
RAF 0
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Inclusion Terms
OfficialICD-10-CM does not list inclusion terms for H18.323 in this effective period.
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for H18.323 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for H18.323 in this effective period.
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for H18.323 in this effective period.
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for H18.323 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for H18.323 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for H18.323 in this effective period.
Buddy Documentation Tip
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 H18.323 an HCC code?
No. H18.323 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
H18.323 is the ICD-10-CM diagnosis code for folds in descemet's membrane, bilateral. This condition involves wrinkles or creases that form in Descemet's membrane, which is a thin layer inside the cornea (the clear front part of the eye), and this occurs in both eyes. These folds can affect vision clarity and may result from eye trauma, surgery, or other corneal conditions. H18.323 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).
H18.323 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 H18.321 (right eye) or H18.322 (left eye) instead.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for H18.323 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 H18.321 (right eye) or H18.322 (left eye) instead
- •This code is typically used when Descemet's membrane folds are identified during ophthalmologic examination or imaging; ensure the documentation clearly indicates the presence of these folds rather than other corneal conditions