H11.02 ICD-10-CM Code: Central pterygium of eye
H11.02 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · free HCC coding tools
HCC Buddy Code Card
Digital ICD-10 code-book layout with official code detail, always-visible risk models, Code Trumping, and Buddy coding guidance.
FY 2026 Apr update / Diseases of the eye and adnexa (H00-H59) / Disorders of conjunctiva (H10-H11)
H11.02
Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidanceCentral pterygium of eye
Central pterygium of eye
CMS-HCC V28
N/A—
Not mapped
CMS-HCC V24
N/A—
Not mapped
ACA/HHS
N/A—
Not mapped
ESRD/PACE
N/A—
Not mapped
RXHCC
N/A—
Not mapped
Code Book Path
Inclusion Terms
OfficialICD-10-CM does not list inclusion terms for H11.02 in this effective period.
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for H11.02 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for H11.02 in this effective period.
Excludes 1
Official- pseudopterygium (H11.81-)
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for H11.02 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for H11.02 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for H11.02 in this effective period.
Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →
- Code
- H11.02
- Description
- Central pterygium of eye
- HCC (V28)
- No CMS-HCC V28 mapping
- RAF reference coefficient
- —
- Billable
- No
- Payment year
- 2026
Coder workflow notes
Get the V28 mapping + MEAT cheat sheet
One printable reference: check representative V28 mappings and the documentation reminders your note needs. Free, no card.
Free PDF. No card. Unsubscribe anytime.
What This Code Means
H11.02 is the ICD-10-CM diagnosis code for central pterygium of eye. H11.02 sits in the ICD-10-CM chapter for diseases of the eye and adnexa (h00-h59), within the section covering disorders of conjunctiva (h10-h11).
Header codes like H11.02 cannot be reported on claims directly; they organize child codes that share clinical context. Coders should select the billable child code that matches the documented presentation and then verify its current source-backed HCC mapping. Do not infer a child code or risk adjustment value from the header alone.
HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for H11.02 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.