H46.02 ICD-10-CM Code: Optic papillitis, left eye
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FY 2026 Apr update / Diseases of the eye and adnexa (H00-H59) / Disorders of optic nerve and visual pathways (H46-H47)
H46.02
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceOptic papillitis, left eye
Inflammation of the optic nerve head (the part where the optic nerve enters the eye) in the left eye. This condition can cause vision problems and eye pain, and may be associated with multiple sclerosis or other neurological conditions.
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 H46.02 in this effective period.
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for H46.02 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for H46.02 in this effective period.
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for H46.02 in this effective period.
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for H46.02 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for H46.02 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for H46.02 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 H46.02 an HCC code?
No. H46.02 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
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This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
H46.02 is the ICD-10-CM diagnosis code for optic papillitis, left eye. Inflammation of the optic nerve head (the part where the optic nerve enters the eye) in the left eye. This condition can cause vision problems and eye pain, and may be associated with multiple sclerosis or other neurological conditions. H46.02 sits in the ICD-10-CM chapter for diseases of the eye and adnexa (h00-h59), within the section covering disorders of optic nerve and visual pathways (h46-h47).
H46.02 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 laterality is documented as left eye; if bilateral, code both H46.01 (right) and H46.02 (left) separately.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for H46.02 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.