H18.541 ICD-10-CM Code: Lattice corneal dystrophy, 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)
H18.541
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceLattice corneal dystrophy, right eye
A hereditary corneal condition where a lattice-like pattern of deposits forms in the cornea of the right eye, causing vision problems and corneal scarring.
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 H18.541 in this effective period.
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for H18.541 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for H18.541 in this effective period.
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for H18.541 in this effective period.
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for H18.541 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for H18.541 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for H18.541 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 H18.541 an HCC code?
No. H18.541 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
H18.541 is the ICD-10-CM diagnosis code for lattice corneal dystrophy, right eye. A hereditary corneal condition where a lattice-like pattern of deposits forms in the cornea of the right eye, causing vision problems and corneal scarring. H18.541 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).
H18.541 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.
Confirm 'lattice' type is documented to distinguish from granular or macular dystrophies.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for H18.541 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.