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H11.9

Billable

Unspecified disorder of conjunctiva

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

What This Code Means

A general eye condition affecting the conjunctiva (the clear membrane covering the white part of the eye) where the specific type of disorder has not been identified or documented.

Coding Tips

  • Use this code only when the specific conjunctival disorder cannot be determined; review documentation for more specific diagnoses like conjunctivitis or pterygium
  • This is a catch-all code, so attempt to obtain clarification from the provider about the nature of the conjunctival problem before coding

Code Hierarchy

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