Unspecified pterygium of left eye
ICD-10 H11.002 is a billable code used to indicate a diagnosis of unspecified pterygium of left eye.
Pterygium is a benign growth of conjunctival tissue that extends onto the cornea, often associated with exposure to UV light, wind, and dust. In the case of unspecified pterygium of the left eye (H11.002), the growth may vary in size and can cause discomfort, irritation, and visual disturbances as it encroaches upon the corneal surface. The anatomy involved includes the conjunctiva, which is the thin membrane covering the white part of the eye, the sclera, which is the outer protective layer, and the cornea, which is the transparent front part of the eye crucial for vision. Disease progression can lead to increased vascularization and inflammation, potentially resulting in astigmatism or other refractive errors. Diagnostic considerations include a thorough eye examination, where the clinician assesses the size, location, and symptoms associated with the pterygium. Slit-lamp examination is often employed to evaluate the extent of the growth and its impact on the cornea and visual acuity. Treatment may range from observation to surgical excision, particularly if the pterygium causes significant discomfort or visual impairment.
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
H11.002 specifically covers unspecified pterygium of the left eye, which may present with symptoms such as redness, irritation, and visual disturbances. It does not include other types of conjunctival or corneal disorders.
H11.002 should be used when the pterygium is specifically located in the left eye and is unspecified in nature. If the pterygium is documented as recurrent or has specific characteristics, other codes may be more appropriate.
Documentation should include a detailed clinical examination, patient symptoms, treatment rationale, and any imaging studies performed. Clear notes on the extent of the pterygium and its impact on vision are essential.
