H26.419 ICD-10-CM Code: Soemmering's ring, unspecified eye
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FY 2026 Apr update / Diseases of the eye and adnexa (H00-H59) / Disorders of lens (H25-H28)
H26.419
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceSoemmering's ring, unspecified eye
Soemmering's ring is a type of cataract where the lens fibers accumulate in a ring-like formation around the edge of the eye after cataract surgery or lens damage. This code is used when the specific eye (left or right) is not documented.
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
Inclusion Terms
OfficialICD-10-CM does not list inclusion terms for H26.419 in this effective period.
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for H26.419 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for H26.419 in this effective period.
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for H26.419 in this effective period.
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for H26.419 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for H26.419 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for H26.419 in this effective period.
Buddy Documentation Tip
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 H26.419 an HCC code?
No. H26.419 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
- Code
- H26.419
- Description
- Soemmering's ring, 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
H26.419 is the ICD-10-CM diagnosis code for soemmering's ring, unspecified eye. Soemmering's ring is a type of cataract where the lens fibers accumulate in a ring-like formation around the edge of the eye after cataract surgery or lens damage. This code is used when the specific eye (left or right) is not documented. H26.419 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).
H26.419 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.
If documentation specifies which eye is affected, use H26.411 (right eye) or H26.412 (left eye) instead of the unspecified code H26.419.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for H26.419 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •If documentation specifies which eye is affected, use H26.411 (right eye) or H26.412 (left eye) instead of the unspecified code H26.419
- •This condition typically develops after cataract surgery, so review operative reports and ensure the relationship to prior procedures is documented for complete clinical context