H31.419
BillableHemorrhagic choroidal detachment, unspecified eye
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is H31.419 an HCC code?
No. H31.419 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
H31.419 is the ICD-10-CM diagnosis code for hemorrhagic choroidal detachment, unspecified eye. Separation of the choroid layer from the underlying tissue with bleeding between the layers when the specific eye affected is not documented. H31.419 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).
H31.419 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.
Use this code only when the hemorrhagic detachment is confirmed but laterality is unspecified.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for H31.419 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 hemorrhagic detachment is confirmed but laterality is unspecified
- •Query the provider to determine which eye(s) are affected for more precise coding