H30.032 ICD-10-CM Code: Focal chorioretinal inflammation, peripheral, left eye
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FY 2026 Apr update / Diseases of the eye and adnexa (H00-H59) / Disorders of choroid and retina (H30-H36)
H30.032
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceFocal chorioretinal inflammation, peripheral, left eye
Inflammation of the choroid and retina in the outer edges of the left eye. This focal inflammatory condition affects the peripheral retina away from the central vision area.
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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Inclusion Terms
OfficialICD-10-CM does not list inclusion terms for H30.032 in this effective period.
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for H30.032 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for H30.032 in this effective period.
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for H30.032 in this effective period.
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for H30.032 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for H30.032 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for H30.032 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 H30.032 an HCC code?
No. H30.032 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
H30.032 is the ICD-10-CM diagnosis code for focal chorioretinal inflammation, peripheral, left eye. Inflammation of the choroid and retina in the outer edges of the left eye. This focal inflammatory condition affects the peripheral retina away from the central vision area. H30.032 sits in the ICD-10-CM chapter for diseases of the eye and adnexa (h00-h59), within the section covering disorders of choroid and retina (h30-h36).
H30.032 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.
Confirm left eye laterality is documented in the medical record.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for H30.032 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Confirm left eye laterality is documented in the medical record
- •Document whether peripheral inflammation is causing floaters, flashes, or visual field defects