H11.059
BillablePeripheral pterygium, progressive, unspecified 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 eye that extends from the corner toward the pupil and is getting worse, but the specific eye is not documented.
Coding Tips
- •Use only when laterality cannot be determined from documentation
- •Query provider if possible to determine right, left, or bilateral involvement
Code Hierarchy
└H11Other disorders of conjunctiva└H11.0Pterygium of eye└H11.05Peripheral pterygium of eye, progressive└H11.059Peripheral pterygium, progressive, unspecified eye
└H11.059Peripheral pterygium, progressive, unspecified eye