H11.051
BillablePeripheral pterygium, progressive, right eye
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
A progressive growth of tissue on the white part of the right eye that extends from the corner toward the pupil, which is getting worse over time.
Coding Tips
- •Verify documentation specifies 'progressive' and 'right eye' to distinguish from other pterygium codes
- •Confirm this is not recurrent pterygium, which has a separate code series (H11.06x)
Code Hierarchy
└H11Other disorders of conjunctiva└H11.0Pterygium of eye└H11.05Peripheral pterygium of eye, progressive└H11.051Peripheral pterygium, progressive, right eye
└H11.051Peripheral pterygium, progressive, right eye