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H16.111

Billable

Macular keratitis, right eye

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

What This Code Means

Macular keratitis is an inflammation of the cornea (the clear front part of the eye) that affects the macula, which is the central area of the cornea responsible for clear vision. This condition in the right eye can cause blurred vision and discomfort.

Coding Tips

  • •Verify laterality is documented in the medical record - this code specifically indicates the right eye, so ensure the provider has specified which eye is affected
  • •Macular keratitis may be associated with underlying conditions (such as infections, autoimmune diseases, or trauma) - review documentation for any additional diagnoses that should be coded separately

Code Hierarchy

└H16Keratitis└H16.1Other and unspecified superficial keratitis without conjunctivitis└H16.11Macular keratitis└H16.111Macular keratitis, right eye
└H16.111Macular keratitis, right eye

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