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H16.259

Billable

Phlyctenular keratoconjunctivitis, unspecified eye

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 an unspecified eye. It is often triggered by tuberculosis or other infections.

Coding Tips

  • Use this code only when laterality is not specified; query provider for eye-specific documentation
  • Document any history of tuberculosis or other infectious triggers for this condition

Code Hierarchy

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