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H11.053

Billable

Peripheral pterygium, progressive, bilateral

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 both eyes that extends from the corners toward the pupils and is getting worse over time.

Coding Tips

  • •Use this code only when pterygium is documented as bilateral and progressive
  • •Do not use if only one eye is affected; use unilateral codes instead

Code Hierarchy

└H11Other disorders of conjunctiva└H11.0Pterygium of eye└H11.05Peripheral pterygium of eye, progressive└H11.053Peripheral pterygium, progressive, bilateral
└H11.053Peripheral pterygium, progressive, bilateral

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