H26.239 ICD-10-CM Code: Glaucomatous flecks (subcapsular), unspecified eye
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FY 2026 Apr update / Diseases of the eye and adnexa (H00-H59) / Disorders of lens (H25-H28)
H26.239
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceGlaucomatous flecks (subcapsular), unspecified eye
Small white spots or opacities in the lens of an unspecified eye caused by elevated eye pressure from glaucoma.
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
OfficialICD-10-CM does not list inclusion terms for H26.239 in this effective period.
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for H26.239 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for H26.239 in this effective period.
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for H26.239 in this effective period.
Code First
Official- underlying glaucoma (H40-H42)
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for H26.239 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for H26.239 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 H26.239 an HCC code?
No. H26.239 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
H26.239 is the ICD-10-CM diagnosis code for glaucomatous flecks (subcapsular), unspecified eye. Small white spots or opacities in the lens of an unspecified eye caused by elevated eye pressure from glaucoma. H26.239 sits in the ICD-10-CM chapter for diseases of the eye and adnexa (h00-h59), within the section covering disorders of lens (h25-h28).
H26.239 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.
This code should be avoided when possible; clarify with the provider which eye is affected.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for H26.239 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •This code should be avoided when possible; clarify with the provider which eye is affected
- •If laterality cannot be determined, document this limitation in the medical record