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H16.253

Billable

Phlyctenular keratoconjunctivitis, bilateral

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

What This Code Means

An allergic inflammation of the cornea and conjunctiva characterized by small blister-like lesions affecting both eyes. It is often triggered by tuberculosis or other infections.

Coding Tips

  • •Bilateral coding requires documentation confirming both eyes are affected; verify this in the clinical notes
  • •Investigate TB status and document findings, as this condition is strongly associated with tuberculosis

Code Hierarchy

└H16Keratitis└H16.2Keratoconjunctivitis└H16.25Phlyctenular keratoconjunctivitis└H16.253Phlyctenular keratoconjunctivitis, bilateral
└H16.253Phlyctenular keratoconjunctivitis, bilateral

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