Double pterygium of unspecified eye
ICD-10 H11.039 is a billable code used to indicate a diagnosis of double pterygium of unspecified eye.
Double pterygium of the unspecified eye is characterized by the presence of two pterygia, which are abnormal growths of conjunctival tissue that extend onto the cornea. These growths can lead to visual disturbances, discomfort, and cosmetic concerns. The conjunctiva, sclera, and cornea are the primary anatomical structures involved, with the conjunctiva being the most affected. Pterygia often arise due to chronic UV exposure, dry environments, or irritation from dust and wind. The disease progression can vary; while some patients may experience minimal symptoms, others may have significant growth leading to astigmatism or encroachment on the visual axis. Diagnosis typically involves a comprehensive eye examination, including visual acuity testing and slit-lamp examination to assess the extent of the pterygium and any associated corneal changes. It is crucial to differentiate double pterygium from other conjunctival or corneal disorders to ensure appropriate management and treatment.
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
H11.039 covers double pterygium affecting the unspecified eye, which includes cases where two pterygia are present but does not specify the eye involved. It is important to note that this code does not cover single pterygium cases or other conjunctival disorders.
H11.039 should be used when there are two distinct pterygia present in the eye, particularly when they are causing visual impairment or significant symptoms. If only one pterygium is present, the appropriate single pterygium code should be used.
Documentation should include a detailed eye examination report, visual acuity measurements, descriptions of the pterygia's size and location, and any symptoms experienced by the patient. Surgical notes should also clearly outline the necessity for intervention.
