2027 ICD-10-CM Diagnosis Code H40.1424Capsular glaucoma with pseudoexfoliation of lens, left eye, indeterminate stage

ICD-10-CM Codes›H00–H59›H40-H42›H40

ICD-10-CM H40.1424
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

H40.1424 is a billable ICD-10-CM diagnosis code for capsular glaucoma with pseudoexfoliation of lens, left eye, indeterminate stage. The 7th character 4 means indeterminate stage. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 124 through 125. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Glaucoma.

H40.1424 does not risk-adjust for Medicare Advantage under the CMS-HCC V28 model. It still risk-adjusts in the RxHCC Part D (V08) category 243 and RxHCC Part D (V08) category 244 for payment year 2027.

Code Identity

ICD-10-CM Code
H40.1424
Billable Status
Yes — Valid for Submission
Code Describes
Capsular glaucoma with pseudoexfoliation of lens, left eye, indeterminate stage
Short Description
Capslr glaucoma w/pseudxf lens, l eye, indeterminate stage
Parent Code
H40.142
Capsular glaucoma with pseudoexfoliation of lens, left eye

Code Classification

ChapterH00–H59Diseases of the eye and adnexa
SectionH40-H42Glaucoma
CategoryH40Glaucoma
This CodeH40.1424Capsular glaucoma with pseudoexfoliation of lens, left eye, indeterminate stage

Medicare Risk Adjustment (HCC)Billing

H40.1424 does not risk-adjust for Medicare Advantage under the CMS-HCC V28 model, but it maps to payment categories in the other CMS models shown below.

CMS-HCC V28 (Medicare Advantage Payment Model)
Not mapped
no payment category in the model that pays 100% of MA risk scores
Prior Model (CMS-HCC V24)
Not mapped under V24
this diagnosis newly risk-adjusts under the V28 model
Part D (RxHCC)
RxHCC 244 — Other Non-Acute Glaucoma
also risk-adjusts in the Part D prescription drug model (V08)

Source: CMS Payment Year 2027 risk adjustment mappings and model software. Weights are relative factors, not dollar amounts; a beneficiary's total RAF also includes demographics and interactions. Browse all CMS-HCC categories.

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to H40.1424: its own notes plus those printed at H40.14, H40, and Chapter 7. A note printed at a category, block or chapter applies to every code under it.

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

From H40 Glaucoma applies to 252 codes
  • absolute glaucoma (H44.51-)
  • congenital glaucoma (Q15.0)
  • traumatic glaucoma due to birth injury (P15.3)

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From Chapter 7 (H00-H59) Diseases of the eye and adnexa applies to 2,677 codes
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
  • diabetes mellitus related eye conditions (E09.3-, E10.3-, E11.3-, E13.3-)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury (trauma) of eye and orbit (S05.-)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
  • syphilis related eye disorders (A50.01, A50.3-, A51.43, A52.71)

Notes

General instructions on how these codes are used.

From Chapter 7 (H00-H59) Diseases of the eye and adnexa applies to 2,677 codes
  • Use an external cause code following the code for the eye condition, if applicable, to identify the cause of the eye condition

7th Character

Every code in the category takes a 7th character from the listed values, with the placeholder X filling any empty positions before it.

From H40.14 Capsular glaucoma with pseudoexfoliation of lens applies to 20 codes
  • One of the following 7th characters is to be assigned to each code in subcategory H40.14 to designate the stage of glaucoma
Values for category H40.14 Glaucoma Stage
  • 0stage unspecified
  • 1mild stage
  • 2moderate stage
  • 3severe stage
  • 4indeterminate stage this code

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name H40.1424, its category, or a range that includes it.

Excludes2 1

These codes carry an Excludes2 note naming H40.1424: its condition is not part of those codes, and both may be reported when the patient has both.

  • H25 Age-related cataract
    capsular glaucoma with pseudoexfoliation of lens (H40.1-) names H40.1-, which includes this code

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR EYE003
Glaucoma
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • Glaucoma, Open-Angle

    glaucoma in which the angle of the anterior chamber is open and the trabecular meshwork does not encroach on the base of the iris.

Patient EducationClinical

Glaucoma

Glaucoma is a group of diseases that can damage the optic nerve of one, or both, of your eyes. This can result in vision loss. There are different types of glaucoma, but the most common type is open-angle glaucoma. Other less common types include angle-closure glaucoma, and congenital glaucoma.

The full article covers:

  • What is glaucoma?
  • What causes glaucoma?
  • What are the symptoms of glaucoma?
  • How is glaucoma diagnosed?
  • What are the treatments for glaucoma?
  • Can glaucoma be prevented?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert H40.1424 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
365.52 Pseudoexfoliat glaucoma
ApproximateCombination The match is approximate, and more than one code can be needed to describe the source diagnosis. Confirm with contextual judgment.
ICD-9-CM
365.74 Indeterm stage glaucoma
ApproximateCombination The match is approximate, and more than one code can be needed to describe the source diagnosis. Confirm with contextual judgment.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About H40.1424Overview

Is H40.1424 (Capsular glaucoma with pseudoexfoliation of lens, left eye) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report capsular glaucoma with pseudoexfoliation of lens, left eye, indeterminate stage on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What does the 7th character 4 in H40.1424 mean?

The final character 4 means indeterminate stage, in this case for the capsular glaucoma with pseudoexfoliation of lens. It comes from the 7th character list in the CMS Tabular List for this category.

What MS-DRG does H40.1424 group to?

When capsular glaucoma with pseudoexfoliation of lens, left eye, indeterminate stage is the principal diagnosis on an inpatient stay, it groups to MS-DRG 125, 124, with relative weights from 0.7699 to 1.2470 depending on complications. Higher weights mean higher Medicare reimbursement.

Can H40.1424 be reported with a code from H44.51?

Not as a rule. The Excludes1 note at H40, which applies to H40.1424, lists "absolute glaucoma (H44.51-)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).

What is the ICD-9 equivalent of H40.1424?

Under the General Equivalence Mappings, capsular glaucoma with pseudoexfoliation of lens, left eye, indeterminate stage converts to ICD-9-CM 365.52 (pseudoexfoliat glaucoma) and 365.74 (indeterm stage glaucoma). The mapping is approximate, so confirm the match fits the documentation.

Does H40.1424 risk-adjust for Medicare Advantage payment?

Not for Medicare Advantage: H40.1424 maps to no category in the CMS-HCC V28 model. It still risk-adjusts in the RxHCC Part D (V08) category 243 (Glaucoma, Open-Angle or Moderate/Severe Stage) and RxHCC Part D (V08) category 244 (Other Non-Acute Glaucoma).