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H16.261

Billable

Vernal keratoconjunctivitis, with limbar and corneal involvement, right eye

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

What This Code Means

A seasonal allergic inflammation of the cornea and conjunctiva with involvement of the limbus (border of the cornea) and corneal surface, affecting the right eye. It typically occurs in warm weather.

Coding Tips

  • Vernal keratoconjunctivitis is more common in children and young adults in warm climates; document seasonal pattern if present
  • Ensure right eye laterality is clearly documented; this code specifies limbal and corneal involvement

Code Hierarchy

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