H33.049 ICD-10-CM Code: Retinal detachment with retinal dialysis, unspecified eye
H33.049 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · free HCC coding tools
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FY 2026 Apr update / Diseases of the eye and adnexa (H00-H59) / Disorders of choroid and retina (H30-H36)
H33.049
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceRetinal detachment with retinal dialysis, unspecified eye
The retina has separated from the eye wall due to retinal dialysis, but the specific eye affected is not documented.
CMS-HCC V28
N/A—
Not mapped
CMS-HCC V24
HistoricalHistorical
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
Inclusion Terms
OfficialICD-10-CM does not list inclusion terms for H33.049 in this effective period.
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for H33.049 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for H33.049 in this effective period.
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for H33.049 in this effective period.
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for H33.049 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for H33.049 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for H33.049 in this effective period.
Buddy Documentation Tip
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 H33.049 an HCC code?
No. H33.049 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
- H33.049
- Description
- Retinal detachment with retinal dialysis, unspecified eye
- 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
H33.049 is the ICD-10-CM diagnosis code for retinal detachment with retinal dialysis, unspecified eye. The retina has separated from the eye wall due to retinal dialysis, but the specific eye affected is not documented. H33.049 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).
H33.049 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.
This code should be used only when eye laterality is not specified in the documentation.
HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for H33.049 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •This code should be used only when eye laterality is not specified in the documentation
- •Attempt to clarify with the provider which eye is affected for more precise coding