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ICD-10 Guide
ICD-10 CodesH11.119

H11.119

Billable

Conjunctival deposits, unspecified eye

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

Code Description

ICD-10 H11.119 is a billable code used to indicate a diagnosis of conjunctival deposits, unspecified eye.

Key Diagnostic Point:

H11.119 refers to conjunctival deposits in an unspecified eye, which can manifest as various types of abnormal material accumulation on the conjunctiva, the clear membrane covering the white part of the eye and the inner eyelids. These deposits may include lipid, calcium, or other substances and can be indicative of underlying systemic conditions or localized ocular diseases. Clinically, patients may present with symptoms such as irritation, redness, or visual disturbances, although some may be asymptomatic. The conjunctiva is a critical part of the anterior segment of the eye, which also includes the sclera and cornea. Disease progression can vary; some deposits may remain stable, while others could indicate more severe pathology requiring intervention. Diagnostic considerations include thorough ocular examination, slit-lamp evaluation, and possibly imaging studies to assess the extent and nature of the deposits. Understanding the etiology of conjunctival deposits is essential for appropriate management and can involve collaboration with specialists in ophthalmology and potentially other fields depending on the systemic implications.

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

The clinical significance of H11.119 lies in its potential to indicate underlying health issues that may affect patient quality of life and vision. Population health impact includes the need for awareness of systemic conditions that can manifest as ocular symptoms. Quality measures may involve monitoring the incidence of conjunctival deposits as part of comprehensive eye care, influencing healthcare utilization patterns and guiding preventive strategies in at-risk populations.

ICD-9 vs ICD-10

The clinical significance of H11.119 lies in its potential to indicate underlying health issues that may affect patient quality of life and vision. Population health impact includes the need for awareness of systemic conditions that can manifest as ocular symptoms. Quality measures may involve monitoring the incidence of conjunctival deposits as part of comprehensive eye care, influencing healthcare utilization patterns and guiding preventive strategies in at-risk populations.

Reimbursement & Billing Impact

Reimbursement considerations include ensuring that the documentation supports the medical necessity of the services provided. Common denials may arise from insufficient documentation or lack of specificity in the diagnosis. Best practices include using clear, concise language in clinical notes and ensuring that all relevant findings are documented to support the diagnosis and any associated procedures performed.

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 H11.119?

H11.119 encompasses a range of conditions that may lead to conjunctival deposits, including conjunctival cysts, pinguecula, and pterygium, as well as systemic conditions like hyperlipidemia or metabolic disorders that can manifest as conjunctival changes.

When should H11.119 be used instead of related codes?

H11.119 should be used when the specific eye affected is not documented or when the deposits are bilateral and not specified. If the deposits are localized to one eye, the specific codes H11.118 or H11.120 should be utilized.

What documentation supports H11.119?

Documentation should include a detailed ocular examination report, noting the presence and characteristics of conjunctival deposits, any associated symptoms, and relevant medical history that may indicate systemic conditions contributing to the deposits.