H52 ICD-10-CM Code: Disorders of refraction and accommodation
H52 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · free HCC coding tools
HCC Buddy Code Card
Digital ICD-10 code-book layout with official code detail, always-visible risk models, Code Trumping, and Buddy coding guidance.
FY 2026 Apr update / Diseases of the eye and adnexa (H00-H59) / Disorders of ocular muscles, binocular movement, accommodation and refraction (H49-H52)
H52
Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidanceDisorders of refraction and accommodation
CMS-HCC V28
N/A—
Not mapped
CMS-HCC V24
N/A—
Not mapped
ACA/HHS
N/A—
Not mapped
ESRD/PACE
N/A—
Not mapped
RXHCC
N/A—
Not mapped
Code Book Path
Inclusion Terms
OfficialNo inclusion terms are included in this display for H52. Check the code and parent instructions in the Code Book.
Excludes 2
Official- certain conditions originating in the perinatal period (P04-P96)Inherited from H00-H59, H49-H52
- certain infectious and parasitic diseases (A00-B99)Inherited from H00-H59, H49-H52
- complications of pregnancy, childbirth and the puerperium (O00-O9A)Inherited from H00-H59, H49-H52
- congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)Inherited from H00-H59, H49-H52
- diabetes mellitus related eye conditions (E09.3-, E10.3-, E11.3-, E13.3-)Inherited from H00-H59, H49-H52
- endocrine, nutritional and metabolic diseases (E00-E88)Inherited from H00-H59, H49-H52
- injury (trauma) of eye and orbit (S05.-)Inherited from H00-H59, H49-H52
- injury, poisoning and certain other consequences of external causes (S00-T88)Inherited from H00-H59, H49-H52
- neoplasms (C00-D49)Inherited from H00-H59, H49-H52
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)Inherited from H00-H59, H49-H52
- syphilis related eye disorders (A50.01, A50.3-, A51.43, A52.71)Inherited from H00-H59, H49-H52
- nystagmus and other irregular eye movements (H55)Inherited from H00-H59, H49-H52
Related Codes
Includes
OfficialNo Includes notes are included in this display for H52. Check the code and parent instructions in the Code Book.
Excludes 1
OfficialNo Excludes 1 notes are included in this display for H52. Check the code and parent instructions in the Code Book.
Code First
OfficialNo Code First sequencing instructions are included in this display for H52. Check the code and parent instructions in the Code Book.
Use Additional
OfficialNo Use Additional Code instructions are included in this display for H52. Check the code and parent instructions in the Code Book.
Code Also
OfficialNo Code Also instructions are included in this display for H52. Check the code and parent instructions in the Code Book.
Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →
- Code
- H52
- Description
- Disorders of refraction and accommodation
- HCC (V28)
- No CMS-HCC V28 mapping
- RAF reference coefficient
- —
- Billable
- No
- Payment year
- 2026
Coder workflow notes
Get the V28 mapping + MEAT cheat sheet
One printable reference: check representative V28 mappings and the documentation reminders your note needs. Free, no card.
Free PDF. No card. Unsubscribe anytime.
What This Code Means
H52 is the ICD-10-CM diagnosis code for disorders of refraction and accommodation. H52 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).
Header codes like H52 cannot be reported on claims directly; they organize child codes that share clinical context. Coders should select the billable child code that matches the documented presentation and then verify its current source-backed HCC mapping. Do not infer a child code or risk adjustment value from the header alone.
HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for H52 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.