H44.2E1 ICD-10-CM Code: Degenerative myopia with other maculopathy, right eye
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FY 2026 Apr update / Diseases of the eye and adnexa (H00-H59) / Disorders of vitreous body and globe (H43-H44)
H44.2E1
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceDegenerative myopia with other maculopathy, right eye
This condition describes progressive nearsightedness (myopia) in the right eye that has worsened over time and is accompanied by damage to the macula, the central part of the retina responsible for detailed vision. The macula damage is not classified as one of the more common types, but represents other forms of deterioration associated with severe myopia.
CMS-HCC V28
00
RAF 0
CMS-HCC V24
00
RAF 0
ACA/HHS
00
RAF 0
ESRD/PACE
00
RAF 0
RXHCC
00
RAF 0
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Inclusion Terms
OfficialICD-10-CM does not list inclusion terms for H44.2E1 in this effective period.
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for H44.2E1 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for H44.2E1 in this effective period.
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for H44.2E1 in this effective period.
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for H44.2E1 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for H44.2E1 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for H44.2E1 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 H44.2E1 an HCC code?
No. H44.2E1 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
H44.2E1 is the ICD-10-CM diagnosis code for degenerative myopia with other maculopathy, right eye. This condition describes progressive nearsightedness (myopia) in the right eye that has worsened over time and is accompanied by damage to the macula, the central part of the retina responsible for detailed vision. The macula damage is not classified as one of the more common types, but represents other forms of deterioration associated with severe myopia. H44.2E1 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).
H44.2E1 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.
Verify documentation specifies 'right eye' to ensure accurate laterality coding; if bilateral, code both eyes separately with appropriate laterality indicators.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for H44.2E1 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Verify documentation specifies 'right eye' to ensure accurate laterality coding; if bilateral, code both eyes separately with appropriate laterality indicators
- •Confirm the maculopathy type is documented as 'other' rather than more specific types like macular hole or macular degeneration, as this affects code selection