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H11.449

Billable

Conjunctival cysts, unspecified eye

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

What This Code Means

A fluid-filled sac or pocket that forms on the conjunctiva (the clear membrane covering the white part of the eye), but the specific eye affected is not documented. These cysts are usually harmless and may not cause any symptoms.

Coding Tips

  • Use this code only when the documentation does not specify whether the cyst is in the right eye, left eye, or both eyes; if laterality is documented, use the more specific codes H11.441 (right eye) or H11.442 (left eye)
  • Conjunctival cysts are typically benign findings that may be discovered incidentally during eye exams; ensure the documentation supports that this is truly an unspecified eye rather than missing documentation that should be clarified

Code Hierarchy

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