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H11.431

Billable

Conjunctival hyperemia, right eye

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

What This Code Means

Redness and increased blood flow in the clear membrane covering the white part of the right eye.

Coding Tips

  • •Hyperemia is a sign of inflammation; document the underlying cause such as conjunctivitis, allergy, or irritation
  • •Distinguish between conjunctival hyperemia and episcleral or scleral redness for accurate coding

Code Hierarchy

└H11Other disorders of conjunctiva└H11.4Other conjunctival vascular disorders and cysts└H11.43Conjunctival hyperemia└H11.431Conjunctival hyperemia, right eye
└H11.431Conjunctival hyperemia, right eye

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