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H11.423

Billable

Conjunctival edema, bilateral

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

What This Code Means

Swelling of the clear membrane covering the white part of both eyes, causing puffiness or fluid accumulation on both eye surfaces.

Coding Tips

  • •Use this code only when edema is documented in both eyes; do not use if only one eye is affected
  • •Bilateral presentation may suggest systemic or allergic etiology rather than localized infection

Code Hierarchy

└H11Other disorders of conjunctiva└H11.4Other conjunctival vascular disorders and cysts└H11.42Conjunctival edema└H11.423Conjunctival edema, bilateral
└H11.423Conjunctival edema, bilateral

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