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H11.151

Billable

Pinguecula, right eye

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

A small, yellowish growth on the clear membrane of the right eye, typically caused by sun exposure and located near the inner corner.

Coding Tips

  • Pinguecula is a benign condition; ensure it is not being confused with pterygium, which is a different condition with its own code
  • Document laterality clearly as right eye to support accurate coding

Code Hierarchy

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