H20.811 ICD-10-CM Code: Fuchs' heterochromic cyclitis, right eye

H20.811 is the ICD-10-CM diagnosis code for fuchs' heterochromic cyclitis, right eye. Fuchs' heterochromic cyclitis is a chronic eye inflammation that typically affects one eye and often causes a change in eye color over time. This code specifically identifies the condition occurring in the right eye. H20.811 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).

H20.811 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.

Always verify laterality (right, left, or bilateral) in the documentation, as this code is specific to the right eye only; use H20.812 for left eye or H20.813 for bilateral cases.