ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesH11.122

H11.122

Billable

Conjunctival concretions, left eye

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

Code Description

ICD-10 H11.122 is a billable code used to indicate a diagnosis of conjunctival concretions, left eye.

Key Diagnostic Point:

Conjunctival concretions are small, yellowish-white deposits that form on the conjunctiva, often as a result of chronic inflammation or irritation. They are typically composed of calcium and other mineral deposits and can occur in one or both eyes, though H11.122 specifically refers to the left eye. The conjunctiva is a thin, transparent membrane that covers the white part of the eyeball and lines the inside of the eyelids, playing a crucial role in protecting the eye and maintaining moisture. Clinically, patients may present with symptoms such as foreign body sensation, mild irritation, or redness in the affected eye. Diagnosis is primarily through a comprehensive eye examination, where the presence of concretions can be visualized. Disease progression may vary; while some patients remain asymptomatic, others may experience discomfort or recurrent inflammation. Diagnostic considerations include differentiating conjunctival concretions from other conjunctival lesions or conditions, such as pinguecula or pterygium, which may require further investigation or intervention. Treatment may involve monitoring, removal of the concretions if symptomatic, or addressing underlying causes of conjunctival irritation.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Moderate, as it requires a thorough eye examination and differentiation from other conditions.
  • Treatment complexity: Low to moderate, depending on whether removal is necessary.
  • Documentation requirements: Moderate, necessitating detailed clinical notes and examination findings.
  • Coding specificity: High, as it specifically identifies the left eye.

Audit Risk Factors

  • Common coding errors: Misidentification of the eye affected or confusion with similar conditions.
  • Documentation gaps: Incomplete examination notes or lack of symptom description.
  • Billing challenges: Potential denials if the medical necessity for treatment is not clearly documented.

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

Optometry

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

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Conjunctival concretions, while generally benign, can impact patient quality of life due to discomfort or irritation. Understanding their prevalence and management is important for population health, as they may contribute to unnecessary healthcare visits. Quality measures in ophthalmology often include patient-reported outcomes related to eye comfort and vision, highlighting the importance of addressing even minor ocular conditions. Epidemiologically, awareness of conjunctival concretions can aid in better resource allocation and patient education regarding eye health.

ICD-9 vs ICD-10

Conjunctival concretions, while generally benign, can impact patient quality of life due to discomfort or irritation. Understanding their prevalence and management is important for population health, as they may contribute to unnecessary healthcare visits. Quality measures in ophthalmology often include patient-reported outcomes related to eye comfort and vision, highlighting the importance of addressing even minor ocular conditions. Epidemiologically, awareness of conjunctival concretions can aid in better resource allocation and patient education regarding eye health.

Reimbursement & Billing Impact

Reimbursement considerations include verifying the patient's insurance coverage for ophthalmological services. Common denials may arise from insufficient documentation or lack of clarity regarding the diagnosis. Best practices include maintaining thorough records of patient symptoms, examination findings, and treatment rationale to support claims and reduce the likelihood of audits or denials.

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 H11.122?

H11.122 specifically covers conjunctival concretions in the left eye, which are benign deposits that may cause irritation but are not typically associated with serious ocular disease.

When should H11.122 be used instead of related codes?

H11.122 should be used when the diagnosis is specifically conjunctival concretions in the left eye, differentiating it from other conditions affecting the conjunctiva or from the right eye.

What documentation supports H11.122?

Documentation should include a detailed eye examination report, noting the presence of concretions, any associated symptoms, and the clinical rationale for the diagnosis and treatment plan.