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H30.122 ICD-10-CM Code: Disseminated chorioretinal inflammation, peripheral, left eye

ICD-10-CM Code View

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FY 2026 Apr update / Diseases of the eye and adnexa (H00-H59) / Disorders of choroid and retina (H30-H36)

H30.122

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

Disseminated chorioretinal inflammation, peripheral, left eye

Inflammation affecting the choroid and retina spread across the outer edges (peripheral areas) of the left eye.

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

Official
H30.1Disseminated chorioretinal inflammation
H30.12Disseminated chorioretinal inflammation, peripheral
H30.122Disseminated chorioretinal inflammation, peripheral, left eye

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for H30.122 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for H30.122 in this effective period.

Related Child Codes

Official
H30.121Disseminated chorioretinal inflammation, peripheral right eye
H30.123Disseminated chorioretinal inflammation, peripheral, bilateral
H30.129Disseminated chorioretinal inflammation, peripheral, unspecified eye

Includes

Official

ICD-10-CM does not list Includes notes for H30.122 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for H30.122 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for H30.122 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for H30.122 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for H30.122 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Confirm left eye laterality is documented before assigning this code
Verify the inflammation pattern is peripheral rather than posterior pole or generalized

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 H30.122 an HCC code?

No. H30.122 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

Code
H30.122
Description
Disseminated chorioretinal inflammation, peripheral, left 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

H30.122 is the ICD-10-CM diagnosis code for disseminated chorioretinal inflammation, peripheral, left eye. Inflammation affecting the choroid and retina spread across the outer edges (peripheral areas) of the left eye. H30.122 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).

H30.122 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 before assigning this code.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for H30.122 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 before assigning this code
  • Verify the inflammation pattern is peripheral rather than posterior pole or generalized

Child Codes

Code Hierarchy

Work H30.122 in HCC Buddy

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