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H11.153

Billable

Pinguecula, bilateral

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

What This Code Means

Small, yellowish growths on the clear membrane of both eyes, typically caused by sun exposure and located near the inner corners.

Coding Tips

  • •Code bilateral only when documentation explicitly confirms pinguecula in both eyes
  • •Consider documenting sun exposure history as this is a common risk factor

Code Hierarchy

└H11Other disorders of conjunctiva└H11.1Conjunctival degenerations and deposits└H11.15Pinguecula└H11.153Pinguecula, bilateral
└H11.153Pinguecula, bilateral

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