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H18.593 ICD-10-CM Code: Other hereditary corneal dystrophies, bilateral

ICD-10-CM Code View

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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)

H18.593

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

Other hereditary corneal dystrophies, bilateral

A hereditary corneal condition affecting both eyes that does not fit into the standard categories of epithelial, granular, lattice, or macular 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
H18.5Hereditary corneal dystrophies
H18.59Other hereditary corneal dystrophies
H18.593Other hereditary corneal dystrophies, bilateral

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for H18.593 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for H18.593 in this effective period.

Related Child Codes

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

Includes

Official

ICD-10-CM does not list Includes notes for H18.593 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for H18.593 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for H18.593 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for H18.593 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for H18.593 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Use this code only after confirming the dystrophy does not match more specific categories and affects both eyes
Document the specific type of hereditary corneal dystrophy and bilateral involvement in the medical record

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 →

Is H18.593 an HCC code?

No. H18.593 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

Code
H18.593
Description
Other hereditary corneal dystrophies, bilateral
HCC (V28)
No CMS-HCC V28 mapping
RAF
Billable
Yes
Payment year
2026

Coder workflow notes

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This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

H18.593 is the ICD-10-CM diagnosis code for other hereditary corneal dystrophies, bilateral. A hereditary corneal condition affecting both eyes that does not fit into the standard categories of epithelial, granular, lattice, or macular dystrophies. H18.593 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).

H18.593 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.

Use this code only after confirming the dystrophy does not match more specific categories and affects both eyes.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for H18.593 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Use this code only after confirming the dystrophy does not match more specific categories and affects both eyes
  • Document the specific type of hereditary corneal dystrophy and bilateral involvement in the medical record

Child Codes

Code Hierarchy

H18.593 code history

Code setChange
FY2021 (effective Oct 1, 2020)Added to the code set

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

Work H18.593 in HCC Buddy

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