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H21.219 ICD-10-CM Code: Degeneration of chamber angle, unspecified 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)

H21.219

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

Degeneration of chamber angle, unspecified eye

This code describes a deterioration or breakdown of the drainage system in the front part of the eye (the chamber angle) when the specific eye affected is not documented. The chamber angle is important for fluid drainage, and its degeneration can affect eye pressure and vision.

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
H21.2Degeneration of iris and ciliary body
H21.21Degeneration of chamber angle
H21.219Degeneration of chamber angle, unspecified eye

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for H21.219 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for H21.219 in this effective period.

Related Child Codes

Official
H21.211Degeneration of chamber angle, right eye
H21.212Degeneration of chamber angle, left eye
H21.213Degeneration of chamber angle, bilateral

Includes

Official

ICD-10-CM does not list Includes notes for H21.219 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for H21.219 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for H21.219 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for H21.219 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for H21.219 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Use this code only when the medical record does not specify whether the condition affects the right eye, left eye, or both eyes; if laterality is documented, use the more specific codes H21.211 (right eye) or H21.212 (left eye)
This code is typically used in ophthology or optometry settings and may be associated with glaucoma risk; review the documentation to ensure no more specific diagnosis is documented

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 H21.219 an HCC code?

No. H21.219 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

Code
H21.219
Description
Degeneration of chamber angle, unspecified eye
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

H21.219 is the ICD-10-CM diagnosis code for degeneration of chamber angle, unspecified eye. This code describes a deterioration or breakdown of the drainage system in the front part of the eye (the chamber angle) when the specific eye affected is not documented. The chamber angle is important for fluid drainage, and its degeneration can affect eye pressure and vision. H21.219 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).

H21.219 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 when the medical record does not specify whether the condition affects the right eye, left eye, or both eyes; if laterality is documented, use the more specific codes H21.211 (right eye) or H21.212 (left eye).

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for H21.219 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Use this code only when the medical record does not specify whether the condition affects the right eye, left eye, or both eyes; if laterality is documented, use the more specific codes H21.211 (right eye) or H21.212 (left eye)
  • This code is typically used in ophthology or optometry settings and may be associated with glaucoma risk; review the documentation to ensure no more specific diagnosis is documented

Child Codes

Code Hierarchy

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