H44.2E9 ICD-10-CM Code: Degenerative myopia with other maculopathy, unspecified eye

H44.2E9 is the ICD-10-CM diagnosis code for degenerative myopia with other maculopathy, unspecified eye. This code describes a condition where the eye has become progressively more nearsighted (myopia) due to degeneration, and the macula (the central part of the retina responsible for detailed vision) has developed damage or disease. The condition affects an unspecified eye, meaning the documentation does not specify whether it's the right, left, or both eyes. H44.2E9 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).

H44.2E9 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 the laterality in the medical record before coding; if both eyes are affected, you may need to code both H44.2E9 for the unspecified eye or use laterality-specific codes (H44.2E1 for right eye, H44.2E2 for left eye, H44.2E3 for bilateral) if documentation permits.