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H40.219 ICD-10-CM Code: Acute angle-closure glaucoma, unspecified eye

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FY 2026 Apr update / Diseases of the eye and adnexa (H00-H59) / Glaucoma (H40-H42)

H40.219

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

Acute angle-closure glaucoma, unspecified eye

A sudden, severe increase in eye pressure caused by the drainage angle in the eye becoming blocked, preventing fluid from draining properly. This is a medical emergency that can cause rapid vision loss if not treated immediately.

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
H40.2Primary angle-closure glaucoma
H40.21Acute angle-closure glaucoma
H40.219Acute angle-closure glaucoma, unspecified eye

Inclusion Terms

Official
  • Acute angle-closure glaucoma attack
  • Acute angle-closure glaucoma crisis

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for H40.219 in this effective period.

Related Child Codes

Official
H40.211Acute angle-closure glaucoma, right eye
H40.212Acute angle-closure glaucoma, left eye
H40.213Acute angle-closure glaucoma, bilateral

Includes

Official

ICD-10-CM does not list Includes notes for H40.219 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for H40.219 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for H40.219 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for H40.219 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for H40.219 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
This code is used when the specific eye (right, left, or bilateral) is not documented; if the eye is specified, use H40.211 (right eye) or H40.212 (left eye) instead
Acute angle-closure glaucoma is a time-sensitive condition often requiring emergency treatment; ensure documentation clearly indicates acute presentation and verify the eye laterality before defaulting to 'unspecified'

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 H40.219 an HCC code?

No. H40.219 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

Code
H40.219
Description
Acute angle-closure glaucoma, unspecified eye
HCC (V28)
No CMS-HCC V28 mapping
RAF
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

H40.219 is the ICD-10-CM diagnosis code for acute angle-closure glaucoma, unspecified eye. A sudden, severe increase in eye pressure caused by the drainage angle in the eye becoming blocked, preventing fluid from draining properly. This is a medical emergency that can cause rapid vision loss if not treated immediately. H40.219 sits in the ICD-10-CM chapter for diseases of the eye and adnexa (h00-h59), within the section covering glaucoma (h40-h42).

H40.219 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 is used when the specific eye (right, left, or bilateral) is not documented; if the eye is specified, use H40.211 (right eye) or H40.212 (left eye) instead.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for H40.219 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • This code is used when the specific eye (right, left, or bilateral) is not documented; if the eye is specified, use H40.211 (right eye) or H40.212 (left eye) instead
  • Acute angle-closure glaucoma is a time-sensitive condition often requiring emergency treatment; ensure documentation clearly indicates acute presentation and verify the eye laterality before defaulting to 'unspecified'

Child Codes

Code Hierarchy

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