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H11.049

Billable

Peripheral pterygium, stationary, unspecified 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 eye that is not progressing, but the specific eye is not documented.

Coding Tips

  • This is a default code when laterality cannot be determined from available documentation
  • Query the provider to obtain specific eye laterality for more accurate coding when possible

Code Hierarchy

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