H40.061
BillablePrimary angle closure without glaucoma damage, right eye
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is H40.061 an HCC code?
No. H40.061 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
H40.061 is the ICD-10-CM diagnosis code for primary angle closure without glaucoma damage, right eye. A condition where the drainage angle of the right eye is narrow or closed, but no permanent damage to the optic nerve has occurred yet. H40.061 sits in the ICD-10-CM chapter for diseases of the eye and adnexa (h00-h59), within the section covering glaucoma (h40-h42).
H40.061 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.
This code indicates anatomical risk for angle closure but without glaucomatous damage.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for H40.061 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •This code indicates anatomical risk for angle closure but without glaucomatous damage
- •Document gonioscopy findings and any prophylactic treatments such as laser peripheral iridotomy