H49.883
BillableOther paralytic strabismus, bilateral
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is H49.883 an HCC code?
No. H49.883 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
H49.883 is the ICD-10-CM diagnosis code for other paralytic strabismus, bilateral. A condition where the muscles controlling eye movement are paralyzed or weakened in both eyes, causing both eyes to turn inward or outward involuntarily. H49.883 sits in the ICD-10-CM chapter for diseases of the eye and adnexa (h00-h59), within the section covering disorders of ocular muscles, binocular movement, accommodation and refraction (h49-h52).
H49.883 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.
Use this code only when both eyes are affected; if only one eye is involved, use the unilateral codes.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for H49.883 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Use this code only when both eyes are affected; if only one eye is involved, use the unilateral codes
- •Document whether the condition is symmetric or asymmetric between the two eyes