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H18.529 ICD-10-CM Code: Epithelial (juvenile) corneal dystrophy, unspecified 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)

H18.529

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

Epithelial (juvenile) corneal dystrophy, unspecified eye

A genetic eye condition where the outer layer of the cornea gradually deteriorates, affecting vision in an unspecified eye. This juvenile form typically develops in childhood or early adulthood.

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
H18.5Hereditary corneal dystrophies
H18.52Epithelial (juvenile) corneal dystrophy
H18.529Epithelial (juvenile) corneal dystrophy, unspecified eye

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for H18.529 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for H18.529 in this effective period.

Related Child Codes

Official
H18.521Epithelial (juvenile) corneal dystrophy, right eye
H18.522Epithelial (juvenile) corneal dystrophy, left eye
H18.523Epithelial (juvenile) corneal dystrophy, bilateral

Includes

Official

ICD-10-CM does not list Includes notes for H18.529 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for H18.529 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for H18.529 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for H18.529 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for H18.529 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Verify documentation specifies 'epithelial' or 'juvenile' type to confirm correct code selection
Use this code only when the affected eye is not specified; if laterality is documented, use H18.521 or H18.522 instead

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 H18.529 an HCC code?

No. H18.529 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

H18.529 is the ICD-10-CM diagnosis code for epithelial (juvenile) corneal dystrophy, unspecified eye. A genetic eye condition where the outer layer of the cornea gradually deteriorates, affecting vision in an unspecified eye. This juvenile form typically develops in childhood or early adulthood. H18.529 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).

H18.529 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 documentation specifies 'epithelial' or 'juvenile' type to confirm correct code selection.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for H18.529 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Verify documentation specifies 'epithelial' or 'juvenile' type to confirm correct code selection
  • Use this code only when the affected eye is not specified; if laterality is documented, use H18.521 or H18.522 instead

Child Codes

Code Hierarchy

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