H11.019
BillableAmyloid pterygium of unspecified eye
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 this code specifically indicates that the growth contains amyloid protein deposits and affects an eye that hasn't been specified as left or right. This is a rare condition where abnormal protein accumulates in the eye tissue.
Coding Tips
- •When the documentation specifies which eye is affected (left or right), use the more specific codes H11.011 or H11.012 instead of the unspecified code H11.019
- •Amyloid pterygium is distinct from typical pterygium (H11.00-H11.009), so ensure documentation clearly indicates amyloid involvement before assigning this code
Code Hierarchy
└H11Other disorders of conjunctiva└H11.0Pterygium of eye└H11.01Amyloid pterygium└H11.019Amyloid pterygium of unspecified eye
└H11.019Amyloid pterygium of unspecified eye