Double pterygium of right eye
ICD-10 H11.031 is a billable code used to indicate a diagnosis of double pterygium of right eye.
Double pterygium of the right eye is characterized by the presence of two pterygia, which are triangular-shaped growths of conjunctival tissue that extend onto the cornea. This condition typically arises due to prolonged exposure to UV light, dust, and wind, leading to conjunctival inflammation and fibrovascular proliferation. The anatomy involved includes the conjunctiva, which is the clear membrane covering the white part of the eye, the sclera, and the cornea. Clinically, patients may present with symptoms such as redness, irritation, and visual disturbances if the pterygia encroach upon the visual axis. Disease progression can lead to increased growth, potential astigmatism, and cosmetic concerns. Diagnostic considerations include a thorough eye examination, where the ophthalmologist assesses the extent of the pterygia and any associated corneal changes. Imaging techniques may be utilized to evaluate the depth of invasion into the cornea. Treatment options range from observation for asymptomatic cases to surgical excision for symptomatic or visually impairing pterygia.
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
H11.031 specifically covers double pterygium affecting the right eye. It includes cases where both pterygia are present and may affect visual acuity or cause discomfort.
H11.031 should be used when both pterygia are present in the right eye, distinguishing it from H11.030, which is used for a single pterygium. Accurate documentation of the condition's bilateral nature is essential.
Documentation should include a detailed eye examination report, noting the presence and extent of both pterygia, symptoms experienced by the patient, and any visual impairment or treatment plans.
