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H44.2B ICD-10-CM Code: Degenerative myopia with macular hole

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

H44.2B

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

Degenerative myopia with macular hole

Degenerative myopia with macular hole

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
H44.2Degenerative myopia
H44.2BDegenerative myopia with macular hole

Inclusion Terms

Official
  • Malignant myopia

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for H44.2B in this effective period.

Related Child Codes

Official
H44.2B1Degenerative myopia with macular hole, right eye
H44.2B2Degenerative myopia with macular hole, left eye
H44.2B3Degenerative myopia with macular hole, bilateral
H44.2B9Degenerative myopia with macular hole, unspecified eye

Includes

Official

ICD-10-CM does not list Includes notes for H44.2B in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for H44.2B in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for H44.2B in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for H44.2B in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for H44.2B 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.

Coder workflow notes

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What This Code Means

H44.2B is the ICD-10-CM diagnosis code for degenerative myopia with macular hole. H44.2B 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 H44.2B 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 H44.2B'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 H44.2B 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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