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 CodesH11.211

H11.211

Billable

Conjunctival adhesions and strands (localized), right eye

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

Code Description

ICD-10 H11.211 is a billable code used to indicate a diagnosis of conjunctival adhesions and strands (localized), right eye.

Key Diagnostic Point:

Conjunctival adhesions and strands (localized) in the right eye refer to the abnormal fibrous connections that can form between the conjunctiva and adjacent structures, such as the sclera or cornea. These adhesions may arise due to various factors, including chronic inflammation, surgical interventions, or trauma. Clinically, patients may present with symptoms such as discomfort, visual disturbances, or restricted eye movement. The conjunctiva, a thin membrane covering the white part of the eye and the inner eyelids, plays a crucial role in protecting the eye and maintaining moisture. Disease progression can lead to complications such as corneal scarring or further visual impairment if left untreated. Diagnostic considerations include a thorough ophthalmic examination, slit-lamp biomicroscopy, and possibly imaging studies to assess the extent of adhesion and any associated ocular surface disease. Treatment may involve surgical intervention to release the adhesions, along with addressing any underlying conditions contributing to their formation.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

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

Audit Risk Factors

  • Common coding errors include misidentifying the eye involved or failing to document the specific nature of the adhesions.
  • Documentation gaps may arise from insufficient detail in clinical notes regarding the patient's history and examination findings.
  • Billing challenges often stem from the need for precise coding to ensure appropriate reimbursement for surgical interventions.

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

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical significance of H11.211 lies in its potential to affect visual acuity and overall eye health. Conjunctival adhesions can lead to complications such as corneal scarring, which may necessitate further surgical intervention. Understanding the epidemiology of conjunctival disorders helps healthcare providers identify at-risk populations and implement preventive measures. Quality measures related to eye care can be improved by accurately diagnosing and coding conditions like H11.211, ultimately enhancing patient outcomes and reducing healthcare utilization.

ICD-9 vs ICD-10

The clinical significance of H11.211 lies in its potential to affect visual acuity and overall eye health. Conjunctival adhesions can lead to complications such as corneal scarring, which may necessitate further surgical intervention. Understanding the epidemiology of conjunctival disorders helps healthcare providers identify at-risk populations and implement preventive measures. Quality measures related to eye care can be improved by accurately diagnosing and coding conditions like H11.211, ultimately enhancing patient outcomes and reducing healthcare utilization.

Reimbursement & Billing Impact

Reimbursement considerations include the necessity of detailed clinical notes that outline the patient's symptoms, examination findings, and any treatment provided. Common denials may arise from insufficient documentation or incorrect coding. Best practices include using precise language in clinical notes, ensuring that all relevant details are captured, and verifying that the selected CPT codes align with the diagnosis for optimal reimbursement.

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 H11.211?

H11.211 specifically covers localized conjunctival adhesions and strands in the right eye, which may be associated with conditions such as conjunctivitis, previous ocular surgeries, or trauma leading to fibrous tissue formation.

When should H11.211 be used instead of related codes?

H11.211 should be used when there is clear documentation of localized conjunctival adhesions in the right eye, distinguishing it from other codes that may refer to generalized or unspecified conjunctival conditions.

What documentation supports H11.211?

Documentation should include a detailed ophthalmic examination report, noting the presence of adhesions, their location, and any associated symptoms or findings. Surgical notes may also be necessary if treatment has been performed.