H40.069
BillablePrimary angle closure without glaucoma damage, unspecified eye
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is H40.069 an HCC code?
No. H40.069 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
H40.069 is the ICD-10-CM diagnosis code for primary angle closure without glaucoma damage, unspecified eye. A condition where the drainage angle is narrow or closed without glaucoma damage, but the specific eye or eyes affected are not documented. H40.069 sits in the ICD-10-CM chapter for diseases of the eye and adnexa (h00-h59), within the section covering glaucoma (h40-h42).
H40.069 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.
Avoid this code if possible; query provider to determine laterality for more specific coding.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for H40.069 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Avoid this code if possible; query provider to determine laterality for more specific coding
- •Use only when eye involvement cannot be determined from available documentation