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H16.243

Billable

Ophthalmia nodosa, bilateral

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

What This Code Means

A type of eye inflammation with small nodular lesions on the conjunctiva affecting both eyes, usually caused by irritation from foreign material or allergic reaction.

Coding Tips

  • •Bilateral coding indicates both eyes are affected; verify documentation confirms involvement of both eyes
  • •Investigate and document the source of irritation (caterpillar hairs, plant material, etc.) for complete clinical picture

Code Hierarchy

└H16Keratitis└H16.2Keratoconjunctivitis└H16.24Ophthalmia nodosa└H16.243Ophthalmia nodosa, bilateral
└H16.243Ophthalmia nodosa, bilateral

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