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H11.813

Billable

Pseudopterygium of conjunctiva, bilateral

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

What This Code Means

Wing-like tissue growths on the conjunctiva of both eyes that resemble pterygium but lack certain characteristics of a true pterygium.

Coding Tips

  • Verify bilateral involvement is explicitly documented
  • Distinguish from true pterygium which has different coding

Code Hierarchy

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