Unspecified pterygium of unspecified eye
ICD-10 H11.009 is a billable code used to indicate a diagnosis of unspecified pterygium of unspecified eye.
Pterygium is a benign growth of conjunctival tissue that extends onto the cornea, often associated with exposure to UV light, wind, and dust. The condition typically presents as a triangular, fleshy growth on the conjunctiva, which may cause irritation, redness, and visual disturbances if it encroaches on the visual axis. Anatomically, pterygium affects the conjunctiva, sclera, and corneal surface, potentially leading to astigmatism or other refractive errors. Disease progression can vary; some patients may experience minimal symptoms, while others may require surgical intervention due to significant growth or discomfort. Diagnostic considerations include a thorough ocular examination, patient history, and assessment of symptoms. The unspecified nature of H11.009 indicates that the specific eye affected (right or left) is not documented, which may complicate treatment planning and follow-up care.
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
H11.009 covers unspecified pterygium, which may include cases where the growth is not clearly defined or documented as affecting a specific eye. It does not cover other conjunctival or corneal disorders.
H11.009 should be used when the specific eye affected is not documented or when the pterygium is not clearly defined. If the eye is specified, use H11.001 or H11.002.
Documentation should include a comprehensive eye examination report, details of the pterygium's size, location, and any associated symptoms. Patient history regarding exposure to risk factors should also be included.
