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H21.502 ICD-10-CM Code: Unspecified adhesions of iris, left 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)

H21.502

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

Unspecified adhesions of iris, left eye

The iris (the colored part of the eye) in the left eye has abnormal scar tissue or connections that are causing it to stick to other parts of the eye, but the specific type or cause of these adhesions has not been documented. This condition can affect vision and eye movement.

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
H21.5Other and unspecified adhesions and disruptions of iris and ciliary body
H21.50Unspecified adhesions of iris
H21.502Unspecified adhesions of iris, left eye

Inclusion Terms

Official
  • Synechia (iris) NOS

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for H21.502 in this effective period.

Related Child Codes

Official
H21.501Unspecified adhesions of iris, right eye
H21.503Unspecified adhesions of iris, bilateral
H21.509Unspecified adhesions of iris and ciliary body, unspecified eye

Includes

Official

ICD-10-CM does not list Includes notes for H21.502 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for H21.502 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for H21.502 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for H21.502 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for H21.502 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Verify whether the adhesions are anterior synechiae (iris stuck to cornea) or posterior synechiae (iris stuck to lens) - if documented, use more specific codes H21.50- instead of the unspecified code
Ensure laterality is correctly identified as left eye (H21.502); confirm documentation doesn't specify right eye (H21.501) or bilateral (H21.503)

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 H21.502 an HCC code?

No. H21.502 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

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

H21.502 is the ICD-10-CM diagnosis code for unspecified adhesions of iris, left eye. The iris (the colored part of the eye) in the left eye has abnormal scar tissue or connections that are causing it to stick to other parts of the eye, but the specific type or cause of these adhesions has not been documented. This condition can affect vision and eye movement. H21.502 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).

H21.502 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 whether the adhesions are anterior synechiae (iris stuck to cornea) or posterior synechiae (iris stuck to lens) - if documented, use more specific codes H21.50- instead of the unspecified code.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for H21.502 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Verify whether the adhesions are anterior synechiae (iris stuck to cornea) or posterior synechiae (iris stuck to lens) - if documented, use more specific codes H21.50- instead of the unspecified code
  • Ensure laterality is correctly identified as left eye (H21.502); confirm documentation doesn't specify right eye (H21.501) or bilateral (H21.503)

Child Codes

Code Hierarchy

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