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FY 2026 Apr update / Diseases of the eye and adnexa (H00-H59) / Disorders of conjunctiva (H10-H11)

H11.1

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Conjunctival degenerations and deposits

Conjunctival degenerations and deposits

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
H11Other disorders of conjunctiva
H11.1Conjunctival degenerations and deposits

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for H11.1 in this effective period.

Excludes 2

Official
  • pseudopterygium (H11.81)

Related Child Codes

Official
H11.10Unspecified conjunctival degenerations
H11.11Conjunctival deposits
H11.12Conjunctival concretions
H11.13Conjunctival pigmentations
H11.14Conjunctival xerosis, unspecified

Includes

Official

ICD-10-CM does not list Includes notes for H11.1 in this effective period.

Excludes 1

Official
  • keratoconjunctivitis (H16.2-)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for H11.1 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for H11.1 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for H11.1 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

What This Code Means

H11.1 is the ICD-10-CM diagnosis code for conjunctival degenerations and deposits. H11.1 sits in the ICD-10-CM chapter for diseases of the eye and adnexa (h00-h59), within the section covering disorders of conjunctiva (h10-h11).

Header codes like H11.1 cannot be reported on claims directly — they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at H11.1's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for H11.1 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 2 — Not included here, may code separately

Child Codes

Code Hierarchy

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