Unspecified pterygium of eye, bilateral
ICD-10 H11.003 is a billable code used to indicate a diagnosis of unspecified pterygium of eye, bilateral.
H11.003 refers to an unspecified pterygium of the eye, bilateral. A pterygium is a benign growth of the conjunctiva that extends onto the cornea, often associated with exposure to UV light, wind, and dust. Clinically, patients may present with symptoms such as redness, irritation, and visual disturbances if the growth encroaches on the visual axis. The anatomy involved includes the conjunctiva, sclera, and cornea, with potential impact on the anterior segment of the eye. Disease progression can vary; some pterygia remain stable, while others may grow and require surgical intervention. Diagnostic considerations include a thorough eye examination, where the growth's size, location, and symptoms are assessed. Differential diagnoses may include other conjunctival lesions or corneal issues. Accurate diagnosis is essential for appropriate management and to distinguish between different types of pterygia, which may have specific treatment protocols.
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
H11.003 covers bilateral pterygium without specifying the severity or type. It includes cases where the growth is not causing significant symptoms or visual impairment, as well as those that may require monitoring or intervention.
H11.003 should be used when a patient presents with bilateral pterygium that does not fit the criteria for more specific codes (H11.001 or H11.002) and when the exact nature of the pterygium is unspecified.
Documentation should include a detailed eye examination report, noting the presence of bilateral pterygium, symptoms experienced by the patient, and any relevant history of exposure to risk factors. Photographic evidence may also support the diagnosis.
