H44.19 ICD-10-CM Code: Other endophthalmitis
HCC Buddy Code Card
Digital ICD-10 code-book layout with official code detail, always-visible risk models, Code Trumping, and Buddy coding guidance.
FY 2026 Apr update / Diseases of the eye and adnexa (H00-H59) / Disorders of vitreous body and globe (H43-H44)
H44.19
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceOther endophthalmitis
Inflammation inside the eye from various causes other than the more specifically classified types, affecting vision and eye comfort.
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
Inclusion Terms
OfficialICD-10-CM does not list inclusion terms for H44.19 in this effective period.
Excludes 2
Official- ophthalmia nodosa (H16.2-)
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for H44.19 in this effective period.
Excludes 1
Official- bleb associated endophthalmitis (H59.4-)
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for H44.19 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for H44.19 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for H44.19 in this effective period.
Buddy Documentation Tip
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.
Is H44.19 an HCC code?
No. H44.19 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
Coder workflow notes
Get the V28 RAF + MEAT cheat sheet
One printable page: confirm a code's V28 HCC status, its RAF weight, and the MEAT your note needs to make it stick. Free, no card.
Free PDF. No card. Unsubscribe anytime.
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
H44.19 is the ICD-10-CM diagnosis code for other endophthalmitis. Inflammation inside the eye from various causes other than the more specifically classified types, affecting vision and eye comfort. H44.19 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).
H44.19 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.
Use this code for endophthalmitis cases that don't fit into panuveitis, parasitic, or sympathetic categories.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for H44.19 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Use this code for endophthalmitis cases that don't fit into panuveitis, parasitic, or sympathetic categories
- •Document the underlying cause (bacterial, fungal, viral, or other) if known, and consider additional specific codes if available