H57.8A3 ICD-10-CM Code: Foreign body sensation, bilateral eyes
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FY 2026 Apr update / Diseases of the eye and adnexa (H00-H59) / Other disorders of eye and adnexa (H55-H57)
H57.8A3
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceForeign body sensation, bilateral eyes
A patient experiences an uncomfortable feeling that something is in both eyes, even though there may not actually be a foreign object present. This sensation can feel like grittiness, scratchiness, or the presence of an irritant in both eyes simultaneously.
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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Code Book Path
Inclusion Terms
OfficialICD-10-CM does not list inclusion terms for H57.8A3 in this effective period.
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for H57.8A3 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for H57.8A3 in this effective period.
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for H57.8A3 in this effective period.
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for H57.8A3 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for H57.8A3 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for H57.8A3 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 H57.8A3 an HCC code?
No. H57.8A3 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
H57.8A3 is the ICD-10-CM diagnosis code for foreign body sensation, bilateral eyes. A patient experiences an uncomfortable feeling that something is in both eyes, even though there may not actually be a foreign object present. This sensation can feel like grittiness, scratchiness, or the presence of an irritant in both eyes simultaneously. H57.8A3 sits in the ICD-10-CM chapter for diseases of the eye and adnexa (h00-h59), within the section covering other disorders of eye and adnexa (h55-h57).
H57.8A3 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 documentation specifies bilateral involvement; if only one eye is affected, use H57.8A1 (right eye) or H57.8A2 (left eye) instead.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for H57.8A3 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.