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H18.591 ICD-10-CM Code: Other hereditary corneal dystrophies, 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)

H18.591

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

Other hereditary corneal dystrophies, right eye

This code describes a genetic eye condition affecting the cornea (the clear front part of the eye) on the right side that doesn't fit into other specific hereditary corneal disease categories. These inherited disorders cause progressive damage to the cornea that can affect vision over time.

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
H18.59Other hereditary corneal dystrophies
H18.591Other hereditary corneal dystrophies, right eye

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for H18.591 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for H18.591 in this effective period.

Related Child Codes

Official
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 H18.591 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for H18.591 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for H18.591 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for H18.591 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for H18.591 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Verify the specific type of hereditary corneal dystrophy documented by the provider, as more specific codes (H18.50-H18.59) may be available for conditions like lattice dystrophy, granular dystrophy, or Fuchs' dystrophy
Ensure laterality is correctly specified - use H18.591 for right eye only; use H18.592 for left eye and H18.593 for bilateral cases

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 H18.591 an HCC code?

No. H18.591 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

H18.591 is the ICD-10-CM diagnosis code for other hereditary corneal dystrophies, right eye. This code describes a genetic eye condition affecting the cornea (the clear front part of the eye) on the right side that doesn't fit into other specific hereditary corneal disease categories. These inherited disorders cause progressive damage to the cornea that can affect vision over time. H18.591 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).

H18.591 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 the specific type of hereditary corneal dystrophy documented by the provider, as more specific codes (H18.50-H18.59) may be available for conditions like lattice dystrophy, granular dystrophy, or Fuchs' dystrophy.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for H18.591 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Verify the specific type of hereditary corneal dystrophy documented by the provider, as more specific codes (H18.50-H18.59) may be available for conditions like lattice dystrophy, granular dystrophy, or Fuchs' dystrophy
  • Ensure laterality is correctly specified - use H18.591 for right eye only; use H18.592 for left eye and H18.593 for bilateral cases

Child Codes

Code Hierarchy

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