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ICD-10 Guide
ICD-10 CodesH11.112

H11.112

Billable

Conjunctival deposits, left eye

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

Code Description

ICD-10 H11.112 is a billable code used to indicate a diagnosis of conjunctival deposits, left eye.

Key Diagnostic Point:

H11.112 refers to conjunctival deposits in the left eye, which can manifest as various types of abnormal accumulations on the conjunctiva, such as lipid deposits, calcium deposits, or other foreign substances. The conjunctiva is a thin, transparent membrane that covers the white part of the eyeball and the inner surface of the eyelids. Disorders of the conjunctiva can lead to symptoms such as irritation, redness, and visual disturbances. The presence of deposits may indicate underlying systemic conditions, such as hyperlipidemia or metabolic disorders, and can also be associated with environmental factors or chronic irritation. Diagnosis typically involves a comprehensive eye examination, including slit-lamp biomicroscopy, to assess the nature and extent of the deposits. Treatment may vary based on the underlying cause and may include management of systemic conditions, removal of deposits, or symptomatic relief. Monitoring and follow-up are essential to prevent complications, such as secondary infections or vision impairment.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires thorough examination and potential laboratory tests to determine underlying causes.
  • Treatment complexity: May involve interdisciplinary management depending on systemic associations.
  • Documentation requirements: Detailed clinical notes and diagnostic findings are necessary to support the diagnosis.
  • Coding specificity: Requires precise coding to differentiate from other conjunctival or ocular conditions.

Audit Risk Factors

  • Common coding errors: Misidentification of the eye involved or confusion with similar codes.
  • Documentation gaps: Incomplete clinical notes or lack of diagnostic evidence.
  • Billing challenges: Potential denials if documentation does not clearly support the diagnosis.

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

Internal Medicine

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

The clinical significance of H11.112 lies in its potential association with systemic health issues, making early diagnosis and management crucial. Population health impact includes the need for awareness of ocular manifestations of systemic diseases, which can lead to improved screening and preventive measures. Quality measures may focus on timely diagnosis and treatment of conjunctival disorders, while healthcare utilization patterns may reflect increased visits to ophthalmologists for evaluation of conjunctival deposits.

ICD-9 vs ICD-10

The clinical significance of H11.112 lies in its potential association with systemic health issues, making early diagnosis and management crucial. Population health impact includes the need for awareness of ocular manifestations of systemic diseases, which can lead to improved screening and preventive measures. Quality measures may focus on timely diagnosis and treatment of conjunctival disorders, while healthcare utilization patterns may reflect increased visits to ophthalmologists for evaluation of conjunctival deposits.

Reimbursement & Billing Impact

Reimbursement considerations may vary based on the payer, and it is essential to verify coverage for diagnostic tests and treatments. Common denials may arise from insufficient documentation or failure to demonstrate medical necessity. Best practices include maintaining thorough clinical notes, ensuring that all services rendered are clearly linked to the diagnosis, and staying updated on payer-specific billing requirements.

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 H11.112?

H11.112 covers conjunctival deposits that may arise from various conditions, including lipid keratopathy, conjunctival cysts, or deposits due to systemic diseases like hyperlipidemia. Diagnostic criteria typically involve clinical examination and may require further investigation to rule out underlying systemic issues.

When should H11.112 be used instead of related codes?

H11.112 should be used specifically when deposits are identified in the left eye. If deposits are present in the right eye, H11.111 should be used. In cases where deposits are bilateral, a different code may be more appropriate.

What documentation supports H11.112?

Documentation should include a detailed clinical examination report, findings from slit-lamp examination, and any relevant laboratory results that indicate underlying systemic conditions. Clear notes on the nature of the deposits and their impact on the patient's health are essential.