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H11.022

Billable

Central pterygium of left eye

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

What This Code Means

A growth of tissue on the white part of the left eye that extends toward the center of the eye, potentially affecting vision.

Coding Tips

  • Verify laterality is documented as left eye in the medical record before assigning this code
  • Confirm the pterygium location is central (extending toward pupil) rather than peripheral to ensure accurate code selection

Code Hierarchy

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