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H11.042

Billable

Peripheral pterygium, stationary, left 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 left eye that is not progressing.

Coding Tips

  • Ensure documentation specifies the pterygium is stationary rather than progressive or advancing
  • Verify left eye laterality is clearly documented in the clinical notes

Code Hierarchy

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