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H00.011

Billable

Hordeolum externum right upper eyelid

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

A hordeolum externum is a painful, pus-filled bump on the outer edge of the upper eyelid, usually caused by a bacterial infection of the hair follicle or sweat gland. This code specifically identifies the infection occurring on the right upper eyelid.

Coding Tips

  • Verify laterality (right vs. left) and eyelid location (upper vs. lower) in the documentation before assigning the code, as these are essential specificity requirements
  • Distinguish between hordeolum externum (external stye affecting eyelash follicles) and hordeolum internum (internal stye affecting meibomian glands) as they have different code assignments

Code Hierarchy

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