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H18.59 ICD-10-CM Code: Other hereditary corneal dystrophies

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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)

H18.59

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Other hereditary corneal dystrophies

Other hereditary corneal dystrophies

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
H18Other disorders of cornea
H18.5Hereditary corneal dystrophies
H18.59Other hereditary corneal dystrophies

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for H18.59 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for H18.59 in this effective period.

Related Child Codes

Official
H18.591Other hereditary corneal dystrophies, right eye
H18.592Other hereditary corneal dystrophies, left eye
H18.593Other hereditary corneal dystrophies, bilateral
H18.599Other hereditary corneal dystrophies, unspecified eye

Includes

Official

ICD-10-CM does not list Includes notes for H18.59 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for H18.59 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for H18.59 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for H18.59 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for H18.59 in this effective period.

Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →

Code
H18.59
Description
Other hereditary corneal dystrophies
HCC (V28)
No CMS-HCC V28 mapping
RAF
Billable
No
Payment year
2026

Coder workflow notes

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What This Code Means

H18.59 is the ICD-10-CM diagnosis code for other hereditary corneal dystrophies. H18.59 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).

Header codes like H18.59 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at H18.59's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for H18.59 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Child Codes

Code Hierarchy

H18.59 code history

Code setChange
FY2021 (effective Oct 1, 2020)Billability changed (now non-billable header)

Source: official CMS ICD-10-CM order and addenda files, FY2016 through FY2027.

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