H30.892 ICD-10-CM Code: Other chorioretinal inflammations, 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)
H30.892
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceOther chorioretinal inflammations, left eye
This code describes inflammation of the choroid and retina (the light-sensitive layers at the back of the eye) in the left eye that doesn't fit into other specific categories. This condition can cause vision problems, floaters, or flashing lights.
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 H30.892 in this effective period.
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for H30.892 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for H30.892 in this effective period.
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for H30.892 in this effective period.
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for H30.892 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for H30.892 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for H30.892 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 H30.892 an HCC code?
No. H30.892 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
H30.892 is the ICD-10-CM diagnosis code for other chorioretinal inflammations, left eye. This code describes inflammation of the choroid and retina (the light-sensitive layers at the back of the eye) in the left eye that doesn't fit into other specific categories. This condition can cause vision problems, floaters, or flashing lights. H30.892 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).
H30.892 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 the laterality is documented as left eye only; if bilateral, you would need a separate code for the right eye (H30.891).
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for H30.892 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Verify the laterality is documented as left eye only; if bilateral, you would need a separate code for the right eye (H30.891)
- •Ensure the medical record specifies this is 'other' chorioretinal inflammation, meaning it doesn't meet criteria for more specific diagnoses like acute retinal necrosis or toxoplasmosis