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ICD-10 Guide
ICD-10 CodesH11.11

H11.11

Non-billable

Conjunctival deposits

BILLABLE STATUSNo
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/06/2025

Code Description

ICD-10 H11.11 is a used to indicate a diagnosis of conjunctival deposits.

Key Diagnostic Point:

Conjunctival deposits refer to abnormal accumulations of material on the conjunctiva, which can manifest as yellowish or white spots or patches. These deposits may arise from various etiologies, including lipid deposits, calcium deposits, or inflammatory responses. The conjunctiva is a thin, transparent membrane covering the sclera and lining the eyelids, playing a crucial role in ocular health. Disorders affecting the conjunctiva can lead to discomfort, visual disturbances, and potential complications if left untreated. The clinical presentation may include symptoms such as irritation, redness, or a foreign body sensation. Disease progression can vary; while some deposits may remain stable, others can indicate underlying systemic conditions, necessitating further investigation. Diagnostic considerations include a thorough ocular examination, slit-lamp biomicroscopy, and potentially imaging studies to assess the extent and nature of the deposits. Differentiating conjunctival deposits from other anterior segment disorders, such as pterygium or pinguecula, is essential for appropriate management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity
  • Treatment complexity
  • Documentation requirements
  • Coding specificity

Audit Risk Factors

  • Common coding errors
  • Documentation gaps
  • Billing challenges

Specialty Focus

Medical Specialties

Ophthalmology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Primary care

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related ICD-10 Codes

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Conjunctival deposits can significantly impact patient quality of life, leading to discomfort and potential visual impairment. Understanding the epidemiology of conjunctival disorders is crucial, as they can indicate underlying systemic conditions. Monitoring these conditions can improve population health outcomes by facilitating early intervention and management. Quality measures related to eye health often include assessments of conjunctival health, emphasizing the importance of accurate diagnosis and treatment.

ICD-9 vs ICD-10

Conjunctival deposits can significantly impact patient quality of life, leading to discomfort and potential visual impairment. Understanding the epidemiology of conjunctival disorders is crucial, as they can indicate underlying systemic conditions. Monitoring these conditions can improve population health outcomes by facilitating early intervention and management. Quality measures related to eye health often include assessments of conjunctival health, emphasizing the importance of accurate diagnosis and treatment.

Reimbursement & Billing Impact

Reimbursement may be affected by the specificity of the diagnosis and the completeness of the documentation. Common denials may arise from insufficient documentation or failure to demonstrate medical necessity. Best practices include maintaining thorough records and ensuring that all relevant clinical information is included in the billing submission.

Resources

Clinical References

  • •
    ICD-10 Official Guidelines for H00-H99
  • •
    Clinical Documentation Requirements

Coding & Billing References

  • •
    ICD-10 Official Guidelines for H00-H99
  • •
    Clinical Documentation Requirements

Frequently Asked Questions

What specific conditions are covered by H11.11?

H11.11 covers conditions such as conjunctival concretions, lipid deposits, and other abnormal accumulations on the conjunctiva that do not fit into more specific categories.

When should H11.11 be used instead of related codes?

H11.11 should be used when the deposits are specifically identified as conjunctival and not associated with other ocular conditions like pterygium or conjunctival cysts, which have their own codes.

What documentation supports H11.11?

Documentation should include a detailed ocular examination report, description of the deposits, any associated symptoms, and the results of any diagnostic tests performed.