H01.86
H01.86 — Other specified inflammation of left eye, unspecified eyelid
Billable / specific codeICD-10-CMleft
H01.86 is a billable, specific ICD-10-CM code for other specified inflammation of left eye, unspecified eyelid. It is valid for submission on a claim.
Risk adjustment
H01.86 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code history
What changed, and when. Derived by diffing consecutive CMS release files — which matters when you are defending a code assigned under an earlier edition.
- addedFY2024-FY2026
Other specified inflammation of left eye, unspecified eyelid
Related codes at this level
Codes that share H01.8. If H01.86 is not quite right, the correct code is usually one of these.
- H01.81Other specified inflammation of right upper eyelid
- H01.82Other specified inflammation of right lower eyelid
- H01.83Other specified inflammation of right eye, unspecified eyelid
- H01.84Other specified inflammation of left upper eyelid
- H01.85Other specified inflammation of left lower eyelid
- H01.89Other specified inflammation of unspecified eye, unspecified eyelid
- H01.8AOther specified inflammation of right eye, upper and lower eyelids
- H01.8BOther specified inflammation of left eye, upper and lower eyelids
Questions about H01.86
- Is H01.86 a billable ICD-10-CM code?
- Yes. H01.86 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does H01.86 sit in the tabular list?
- Diseases of the eye and adnexa (H00-H59), in the block Disorders of eyelid, lacrimal system and orbit (H00-H05).