H44.511
BillableAbsolute glaucoma, right eye
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is H44.511 an HCC code?
No. H44.511 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
H44.511 is the ICD-10-CM diagnosis code for absolute glaucoma, right eye. Complete loss of vision and function in the right eye, typically resulting from severe glaucoma or trauma. H44.511 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).
H44.511 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.
Absolute glaucoma represents end-stage glaucoma with permanent vision loss and a non-functional eye.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for H44.511 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Absolute glaucoma represents end-stage glaucoma with permanent vision loss and a non-functional eye
- •Ensure documentation confirms the eye is non-functional and vision is permanently lost