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H16.211

Billable

Exposure keratoconjunctivitis, right 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 and conjunctiva caused by excessive eye exposure to air or environmental irritants, affecting the right eye only.

Coding Tips

  • Verify the laterality is specifically documented as right eye before assigning this code
  • Look for documentation of the underlying cause (e.g., incomplete eyelid closure, prolonged screen time) to support medical necessity

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