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H11.043

Billable

Peripheral pterygium, stationary, bilateral

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

What This Code Means

Non-growing tissue growths on the outer edges of both eyes that are not progressing.

Coding Tips

  • •Use only when bilateral stationary peripheral pterygium is explicitly documented
  • •Confirm both eyes are affected and the condition is non-progressive before assigning this code

Code Hierarchy

└H11Other disorders of conjunctiva└H11.0Pterygium of eye└H11.04Peripheral pterygium of eye, stationary└H11.043Peripheral pterygium, stationary, bilateral
└H11.043Peripheral pterygium, stationary, bilateral

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