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H11.041

Billable

Peripheral pterygium, stationary, right eye

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

What This Code Means

A non-growing tissue growth on the outer edge of the white part of the right eye that is not progressing.

Coding Tips

  • Verify that documentation indicates the pterygium is 'stationary' (not progressive) before assigning this code
  • Confirm right eye laterality and peripheral location to distinguish from central pterygium codes

Code Hierarchy

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