FY2027 ICD-10-CM reference
H11: Other disorders of conjunctiva
By the HCC Buddy Coding Team
The official ICD-10-CM descriptor is Other disorders of conjunctiva. The FY2027 annual edition starts October 1, 2026. Check the edition that applies to the encounter or inpatient discharge, including any April update.
Nonbillable heading. Verified against the official FY2027 order file.
CMS-HCC V28
Not applicable to this nonbillable heading
CMS-HCC V24
Not applicable to this nonbillable heading
ESRD
Not applicable to this nonbillable heading
PACE
Not applicable to this nonbillable heading
RxHCC
Not applicable to this nonbillable heading
HHS-HCC
Not applicable to this nonbillable heading
More specific FY2027 codes
- H11.0: Pterygium of eyeNonbillable heading
- H11.1: Conjunctival degenerations and depositsNonbillable heading
- H11.2: Conjunctival scarsNonbillable heading
- H11.3: Conjunctival hemorrhageNonbillable heading
- H11.4: Other conjunctival vascular disorders and cystsNonbillable heading
- H11.8: Other specified disorders of conjunctivaNonbillable heading
- H11.9: Unspecified disorder of conjunctivaBillable code
FY2027 Tabular instructions
Instructions below include applicable chapter, section and parent-code notes. Each note identifies where it appears in the official source.
Instructional note
Use an external cause code following the code for the eye condition, if applicable, to identify the cause of the eye condition
Source: H00-H59 (chapter, inherited).
Excludes2
certain conditions originating in the perinatal period (P04-P96)
Source: H00-H59 (chapter, inherited).
Excludes2
certain infectious and parasitic diseases (A00-B99)
Source: H00-H59 (chapter, inherited).
Excludes2
complications of pregnancy, childbirth and the puerperium (O00-O9A)
Source: H00-H59 (chapter, inherited).
Excludes2
congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
Source: H00-H59 (chapter, inherited).
Excludes2
diabetes mellitus related eye conditions (E09.3-, E10.3-, E11.3-, E13.3-)
Source: H00-H59 (chapter, inherited).
Excludes2
endocrine, nutritional and metabolic diseases (E00-E88)
Source: H00-H59 (chapter, inherited).
Excludes2
injury (trauma) of eye and orbit (S05.-)
Source: H00-H59 (chapter, inherited).
Excludes2
injury, poisoning and certain other consequences of external causes (S00-T88)
Source: H00-H59 (chapter, inherited).
Excludes2
neoplasms (C00-D49)
Source: H00-H59 (chapter, inherited).
Excludes2
symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
Source: H00-H59 (chapter, inherited).
Excludes2
syphilis related eye disorders (A50.01, A50.3-, A51.43, A52.71)
Source: H00-H59 (chapter, inherited).
Excludes1
keratoconjunctivitis (H16.2-)
Source: H11 (category, direct).
Compare the FY2027 additions, removals and billable-status changes
What does H11 mean in FY2027?
The official ICD-10-CM descriptor is Other disorders of conjunctiva. The FY2027 annual edition starts October 1, 2026. Check the edition that applies to the encounter or inpatient discharge, including any April update.
Is H11 billable in FY2027?
The FY2027 order file marks H11 as a nonbillable heading. Select a complete billable child code.
Does H11 map to an HCC?
Risk-model mapping is not applicable to this nonbillable heading. Check a complete billable child code.
Source: CMS FY2027 ICD-10-CM order file. Payment model: CMS CY 2027 Rate Announcement. Read the FY2027 Official Guidelines.
Review the FY2026 April edition