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H44.2D2 ICD-10-CM Code: Degenerative myopia with foveoschisis, left eye

H44.2D2 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · HCC Buddy coding tools

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Code lookupH44.2D2

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

H44.2D2

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

Degenerative myopia with foveoschisis, left eye

A condition where severe nearsightedness causes a splitting or separation of layers in the fovea (the center of the macula) in the left eye.

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

Historical

Historical

Not used for CY2026 payment

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Inclusion Terms

Official
  • Malignant myopiaInherited from H44.2

Excludes 2

Official
  • certain conditions originating in the perinatal period (P04-P96)Inherited from H00-H59
  • certain infectious and parasitic diseases (A00-B99)Inherited from H00-H59
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)Inherited from H00-H59
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)Inherited from H00-H59
  • diabetes mellitus related eye conditions (E09.3-, E10.3-, E11.3-, E13.3-)Inherited from H00-H59
  • endocrine, nutritional and metabolic diseases (E00-E88)Inherited from H00-H59
  • injury (trauma) of eye and orbit (S05.-)Inherited from H00-H59
  • injury, poisoning and certain other consequences of external causes (S00-T88)Inherited from H00-H59
  • neoplasms (C00-D49)Inherited from H00-H59
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)Inherited from H00-H59
  • syphilis related eye disorders (A50.01, A50.3-, A51.43, A52.71)Inherited from H00-H59

Includes

Official
  • disorders affecting multiple structures of eyeInherited from H44

Excludes 1

Official

No Excludes 1 notes are included in this display for H44.2D2. Check the code and parent instructions in the Code Book.

Code First

Official

No Code First sequencing instructions are included in this display for H44.2D2. Check the code and parent instructions in the Code Book.

Use Additional

Official

No Use Additional Code instructions are included in this display for H44.2D2. Check the code and parent instructions in the Code Book.

Code Also

Official

No Code Also instructions are included in this display for H44.2D2. Check the code and parent instructions in the Code Book.

Buddy Documentation Tip

HCC Buddy guidance
Foveoschisis is a specific structural complication of degenerative myopia; ensure it is documented in the record
Verify left eye is specified; if bilateral, use H44.2D3 instead

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 H44.2D2 an HCC code?

No. H44.2D2 is a billable ICD-10-CM code with no mapping under the CMS-HCC V28 or V24 community payment models, and none under the ESRD, Part D RxHCC, or HHS-HCC models.

Code
H44.2D2
Description
Degenerative myopia with foveoschisis, left eye
HCC (V28)
No CMS-HCC V28 mapping
RAF reference coefficient
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

H44.2D2 is the ICD-10-CM diagnosis code for degenerative myopia with foveoschisis, left eye. A condition where severe nearsightedness causes a splitting or separation of layers in the fovea (the center of the macula) in the left eye. H44.2D2 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).

H44.2D2 is a billable ICD-10-CM code, but the current payload does not show a mapping under the CMS-HCC V28 or V24 community payment models, and none under the ESRD, Part D RxHCC, or HHS-HCC models. Do not assign risk adjustment value from this page when no source-backed mapping is shown; verify the applicable model and payment year.

Foveoschisis is a specific structural complication of degenerative myopia; ensure it is documented in the record.

HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for H44.2D2 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Foveoschisis is a specific structural complication of degenerative myopia; ensure it is documented in the record
  • Verify left eye is specified; if bilateral, use H44.2D3 instead

Child Codes

Code Hierarchy

H44.2D2 code history

Code setChange
FY2018 (effective Oct 1, 2017)Added to the code set

Source: official CMS ICD-10-CM order and addenda files, FY2016 through FY2027.

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