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H18.319

Billable

Folds and rupture in Bowman's membrane, unspecified eye

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

What This Code Means

This code describes damage to Bowman's membrane, a thin layer in the front part of the eye, where folds or tears have developed but the specific eye affected is not documented. This condition can affect vision and may result from injury, disease, or degenerative changes.

Coding Tips

  • If the affected eye is documented (right, left, or bilateral), use the more specific codes H18.311, H18.312, or H18.313 instead of the unspecified code H18.319
  • This code is typically used when documentation is unclear about laterality; query the provider if eye-specific information is available in the clinical record to ensure accurate coding

Code Hierarchy

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