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 guidanceUnspecified 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
00
RAF 0
CMS-HCC V24
00
RAF 0
ACA/HHS
00
RAF 0
ESRD/PACE
00
RAF 0
RXHCC
00
RAF 0
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Code Book Path
Inclusion Terms
Official- Synechia (iris) NOS
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for H21.502 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for H21.502 in this effective period.
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for H21.502 in this effective period.
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for H21.502 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for H21.502 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for H21.502 in this effective period.
Buddy Documentation Tip
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)