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H44.12 ICD-10-CM Code: Parasitic endophthalmitis, unspecified

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FY 2026 Apr update / Diseases of the eye and adnexa (H00-H59) / Disorders of vitreous body and globe (H43-H44)

H44.12

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Parasitic endophthalmitis, unspecified

Parasitic endophthalmitis, unspecified

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
H44Disorders of globe
H44.1Other endophthalmitis
H44.12Parasitic endophthalmitis, unspecified

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for H44.12 in this effective period.

Excludes 2

Official
  • ophthalmia nodosa (H16.2-)

Related Child Codes

Official
H44.121Parasitic endophthalmitis, unspecified, right eye
H44.122Parasitic endophthalmitis, unspecified, left eye
H44.123Parasitic endophthalmitis, unspecified, bilateral
H44.129Parasitic endophthalmitis, unspecified, unspecified eye

Includes

Official

ICD-10-CM does not list Includes notes for H44.12 in this effective period.

Excludes 1

Official
  • bleb associated endophthalmitis (H59.4-)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for H44.12 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for H44.12 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for H44.12 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

What This Code Means

H44.12 is the ICD-10-CM diagnosis code for parasitic endophthalmitis, unspecified. H44.12 sits in the ICD-10-CM chapter for diseases of the eye and adnexa (h00-h59), within the section covering disorders of vitreous body and globe (h43-h44).

Header codes like H44.12 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at H44.12's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for H44.12 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Child Codes

Code Hierarchy

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