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H11.159

Billable

Pinguecula, unspecified 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 eye when the specific eye affected is not documented or specified.

Coding Tips

  • Use only when laterality cannot be determined; query provider for clarification when possible
  • This is a less specific code; attempt to obtain laterality information before finalizing the claim

Code Hierarchy

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