H30.893 ICD-10-CM Code: Other chorioretinal inflammations, bilateral
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FY 2026 Apr update / Diseases of the eye and adnexa (H00-H59) / Disorders of choroid and retina (H30-H36)
H30.893
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceOther chorioretinal inflammations, bilateral
This code describes inflammation affecting the choroid and retina (the light-sensitive layers at the back of the eye) in both eyes, when the specific type of inflammation doesn't fit other defined categories. This is a less common form of eye inflammation that requires bilateral involvement to use this code.
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 H30.893 in this effective period.
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for H30.893 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for H30.893 in this effective period.
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for H30.893 in this effective period.
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for H30.893 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for H30.893 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for H30.893 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 H30.893 an HCC code?
No. H30.893 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
H30.893 is the ICD-10-CM diagnosis code for other chorioretinal inflammations, bilateral. This code describes inflammation affecting the choroid and retina (the light-sensitive layers at the back of the eye) in both eyes, when the specific type of inflammation doesn't fit other defined categories. This is a less common form of eye inflammation that requires bilateral involvement to use this code. H30.893 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).
H30.893 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 that the inflammation affects BOTH eyes before assigning this bilateral code; if only one eye is affected, use the unilateral equivalent (H30.891).
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for H30.893 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Verify that the inflammation affects BOTH eyes before assigning this bilateral code; if only one eye is affected, use the unilateral equivalent (H30.891)
- •This is an 'other' category code, so document the specific type of chorioretinal inflammation in the medical record to support medical necessity and consider querying the provider if the inflammation type is more specifically documented