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H50.621

Billable

Inferior oblique muscle entrapment, right eye

Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)

Is H50.621 an HCC code?

No. H50.621 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

H50.621 is the ICD-10-CM diagnosis code for inferior oblique muscle entrapment, right eye. A condition affecting the right eye where the inferior oblique muscle is trapped or restricted, limiting normal eye movement. H50.621 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).

H50.621 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.

Inferior oblique muscle entrapment is a restrictive condition; always specify laterality (right eye in this code).

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for H50.621 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Inferior oblique muscle entrapment is a restrictive condition; always specify laterality (right eye in this code)
  • May result from trauma, surgery, or anatomical abnormalities and can cause vertical strabismus

Code Hierarchy

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