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H11.023

Billable

Central 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 growth of tissue on the white part of both eyes that extends toward the center, potentially affecting vision in both eyes.

Coding Tips

  • Use this code only when documentation explicitly confirms bilateral involvement
  • Do not use this code if only one eye is affected; assign the appropriate unilateral code instead

Code Hierarchy

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