H11.013
BillableAmyloid pterygium of eye, bilateral
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
A pterygium is a growth of tissue on the eye's surface, and in this case, the growth is made of amyloid protein deposits and affects both eyes. This is a rare condition where abnormal protein accumulates in the wing-shaped tissue that grows across the cornea.
Coding Tips
- •Verify that the pterygium is confirmed to be amyloid type through pathology or clinical documentation before coding H11.013, as this is a specific histological diagnosis
- •Ensure bilateral involvement is documented in the medical record; if only one eye is affected, use H11.011 (right eye) or H11.012 (left eye) instead
Code Hierarchy
└H11Other disorders of conjunctiva└H11.0Pterygium of eye└H11.01Amyloid pterygium└H11.013Amyloid pterygium of eye, bilateral
└H11.013Amyloid pterygium of eye, bilateral