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H31.29 ICD-10-CM Code: Other hereditary choroidal dystrophy

H31.29 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · HCC coding software

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

H31.29

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

Other hereditary choroidal dystrophy

This code is used for other inherited choroidal dystrophies not specifically classified elsewhere, representing various genetic disorders affecting the choroid layer.

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

Historical

Historical

Not used for CY2026 payment

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
H31Other disorders of choroid
H31.2Hereditary choroidal dystrophy
H31.29Other hereditary choroidal dystrophy

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for H31.29 in this effective period.

Excludes 2

Official
  • hyperornithinemia (E72.4)
  • ornithinemia (E72.4)

Related Child Codes

Official
H31.20Hereditary choroidal dystrophy, unspecified
H31.21Choroideremia
H31.22Choroidal dystrophy (central areolar) (generalized) (peripapillary)
H31.23Gyrate atrophy, choroid

Includes

Official

ICD-10-CM does not list Includes notes for H31.29 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for H31.29 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for H31.29 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for H31.29 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for H31.29 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Use this code only when the specific type of hereditary choroidal dystrophy does not fit H31.21, H31.22, or H31.23
Document the specific diagnosis in the medical record for clarity and future reference

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 H31.29 an HCC code?

No. H31.29 is a billable ICD-10-CM code with no mapping under the CMS-HCC V28 or V24 community payment models, and none under the ESRD, Part D RxHCC, or HHS-HCC models.

Code
H31.29
Description
Other hereditary choroidal dystrophy
HCC (V28)
No CMS-HCC V28 mapping
RAF reference coefficient
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

H31.29 is the ICD-10-CM diagnosis code for other hereditary choroidal dystrophy. This code is used for other inherited choroidal dystrophies not specifically classified elsewhere, representing various genetic disorders affecting the choroid layer. H31.29 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).

H31.29 is a billable ICD-10-CM code, but the current payload does not show a mapping under the CMS-HCC V28 or V24 community payment models, and none under the ESRD, Part D RxHCC, or HHS-HCC models. Do not assign risk adjustment value from this page when no source-backed mapping is shown; verify the applicable model and payment year.

Use this code only when the specific type of hereditary choroidal dystrophy does not fit H31.21, H31.22, or H31.23.

HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for H31.29 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Use this code only when the specific type of hereditary choroidal dystrophy does not fit H31.21, H31.22, or H31.23
  • Document the specific diagnosis in the medical record for clarity and future reference

Child Codes

Code Hierarchy

Work H31.29 in HCC Buddy

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