Double pterygium of eye, bilateral
ICD-10 H11.033 is a billable code used to indicate a diagnosis of double pterygium of eye, bilateral.
Double pterygium of the eye, bilateral, is characterized by the presence of two pterygia on each eye, which are triangular-shaped growths of conjunctival tissue that extend onto the cornea. Clinically, patients may present with symptoms such as irritation, redness, and visual disturbances due to the encroachment of the pterygium on the corneal surface. The anatomy involved includes the conjunctiva, sclera, and cornea, with the pterygium affecting the anterior segment of the eye. Disease progression can lead to increased astigmatism and potential vision impairment if left untreated. Diagnostic considerations include a thorough ocular examination, where the growths can be observed, and possibly imaging studies to assess the extent of corneal involvement. Differential diagnoses may include other conjunctival lesions, such as conjunctival cysts or neoplasms, which must be ruled out to confirm the diagnosis of bilateral double pterygium.
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
H11.033 specifically covers bilateral double pterygium, which involves two pterygia on each eye. It is important to differentiate this from unilateral pterygium codes, as well as other conjunctival growths.
H11.033 should be used when both eyes are affected by double pterygium. If only one eye is affected, the appropriate unilateral code should be selected. Accurate documentation of bilateral involvement is crucial.
Documentation should include a detailed ocular examination report, noting the presence and extent of pterygia in both eyes, patient symptoms, and any visual impairment. Surgical notes should also reflect the bilateral nature of the condition if surgery is performed.
