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H18.559

Billable

Macular corneal dystrophy, unspecified eye

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

What This Code Means

Macular corneal dystrophy is a genetic eye condition where cloudy deposits form in the cornea (the clear front part of the eye), affecting vision. This code is used when the condition is present but the specific eye affected is not documented.

Coding Tips

  • Always attempt to determine which eye is affected (right, left, or bilateral) and use the more specific codes (H18.551, H18.552, or H18.553) rather than the unspecified code when documentation permits
  • This is a hereditary condition often diagnosed through genetic testing and slit-lamp examination; ensure documentation clearly supports the diagnosis before coding

Code Hierarchy

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