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H16.249

Billable

Ophthalmia nodosa, unspecified eye

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 an unspecified eye, usually caused by irritation from foreign material or allergic reaction.

Coding Tips

  • Use this code only when the specific eye affected is not documented; query provider for laterality if possible
  • Document the suspected cause of the nodular lesions to guide treatment decisions

Code Hierarchy

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