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H16.001

Billable

Unspecified corneal ulcer, right eye

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

What This Code Means

A corneal ulcer is an open sore on the clear front surface of the eye (cornea) that has not been specifically identified as to its cause. This code is used when the ulcer is on the right eye.

Coding Tips

  • Verify documentation specifies the right eye; if bilateral or left eye, use different codes (H16.002 for left, H16.003 for bilateral)
  • If the cause of the ulcer is documented (bacterial, viral, fungal, traumatic, etc.), use a more specific code rather than 'unspecified' to improve clinical clarity and coding accuracy

Code Hierarchy

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