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H16.119

Billable

Macular keratitis, unspecified eye

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

What This Code Means

Inflammation of the cornea affecting the macula (central area) in an eye that is not specified as right, left, or bilateral.

Coding Tips

  • •Use only when laterality is not documented; attempt to clarify which eye(s) are affected
  • •Macular involvement should be clearly documented to distinguish from other keratitis types

Code Hierarchy

└H16Keratitis└H16.1Other and unspecified superficial keratitis without conjunctivitis└H16.11Macular keratitis└H16.119Macular keratitis, unspecified eye
└H16.119Macular keratitis, unspecified eye

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