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H18.442 ICD-10-CM Code: Keratomalacia, left 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)

H18.442

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

Keratomalacia, left eye

Keratomalacia is a serious eye condition where the cornea (the clear front part of the eye) becomes soft and cloudy, leading to potential vision loss. This code specifically refers to this condition affecting the left 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
H18.4Corneal degeneration
H18.44Keratomalacia
H18.442Keratomalacia, left eye

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for H18.442 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for H18.442 in this effective period.

Related Child Codes

Official
H18.441Keratomalacia, right eye
H18.443Keratomalacia, bilateral
H18.449Keratomalacia, unspecified eye

Includes

Official

ICD-10-CM does not list Includes notes for H18.442 in this effective period.

Excludes 1

Official
  • keratomalacia due to vitamin A deficiency (E50.4)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for H18.442 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for H18.442 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for H18.442 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Keratomalacia is often associated with severe vitamin A deficiency and is considered a medical emergency; verify documentation supports this diagnosis and check for related vitamin A deficiency codes (E50.x) to code comprehensively
Ensure the laterality is correctly documented as left eye (H18.442) versus right eye (H18.441) or bilateral (H18.443) to avoid coding errors

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 H18.442 an HCC code?

No. H18.442 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

H18.442 is the ICD-10-CM diagnosis code for keratomalacia, left eye. Keratomalacia is a serious eye condition where the cornea (the clear front part of the eye) becomes soft and cloudy, leading to potential vision loss. This code specifically refers to this condition affecting the left eye. H18.442 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).

H18.442 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.

Keratomalacia is often associated with severe vitamin A deficiency and is considered a medical emergency; verify documentation supports this diagnosis and check for related vitamin A deficiency codes (E50.x) to code comprehensively.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for H18.442 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Keratomalacia is often associated with severe vitamin A deficiency and is considered a medical emergency; verify documentation supports this diagnosis and check for related vitamin A deficiency codes (E50.x) to code comprehensively
  • Ensure the laterality is correctly documented as left eye (H18.442) versus right eye (H18.441) or bilateral (H18.443) to avoid coding errors

Child Codes

Code Hierarchy

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