2022 ICD-10-CM Code H11.0

Pterygium of eye

Version 2021

Not Valid for Submission

ICD-10:H11.0
Short Description:Pterygium of eye
Long Description:Pterygium of eye

Code Classification

  • Diseases of the eye and adnexa (H00–H59)
    • Disorders of conjunctiva (H10-H11)
      • Other disorders of conjunctiva (H11)

H11.0 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of pterygium of eye. The code is not specific and is NOT valid for the year 2022 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

Specific Coding for Pterygium of eye

Non-specific codes like H11.0 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for pterygium of eye:

  • NON-BILLABLE CODE - H11.00 for Unspecified pterygium of eye
  • BILLABLE CODE - Use H11.001 for Unspecified pterygium of right eye
  • BILLABLE CODE - Use H11.002 for Unspecified pterygium of left eye
  • BILLABLE CODE - Use H11.003 for Unspecified pterygium of eye, bilateral
  • BILLABLE CODE - Use H11.009 for Unspecified pterygium of unspecified eye
  • NON-BILLABLE CODE - H11.01 for Amyloid pterygium
  • BILLABLE CODE - Use H11.011 for Amyloid pterygium of right eye
  • BILLABLE CODE - Use H11.012 for Amyloid pterygium of left eye
  • BILLABLE CODE - Use H11.013 for Amyloid pterygium of eye, bilateral
  • BILLABLE CODE - Use H11.019 for Amyloid pterygium of unspecified eye
  • NON-BILLABLE CODE - H11.02 for Central pterygium of eye
  • BILLABLE CODE - Use H11.021 for Central pterygium of right eye
  • BILLABLE CODE - Use H11.022 for Central pterygium of left eye
  • BILLABLE CODE - Use H11.023 for Central pterygium of eye, bilateral
  • BILLABLE CODE - Use H11.029 for Central pterygium of unspecified eye
  • NON-BILLABLE CODE - H11.03 for Double pterygium of eye
  • BILLABLE CODE - Use H11.031 for Double pterygium of right eye
  • BILLABLE CODE - Use H11.032 for Double pterygium of left eye
  • BILLABLE CODE - Use H11.033 for Double pterygium of eye, bilateral
  • BILLABLE CODE - Use H11.039 for Double pterygium of unspecified eye
  • NON-BILLABLE CODE - H11.04 for Peripheral pterygium of eye, stationary
  • BILLABLE CODE - Use H11.041 for Peripheral pterygium, stationary, right eye
  • BILLABLE CODE - Use H11.042 for Peripheral pterygium, stationary, left eye
  • BILLABLE CODE - Use H11.043 for Peripheral pterygium, stationary, bilateral
  • BILLABLE CODE - Use H11.049 for Peripheral pterygium, stationary, unspecified eye
  • NON-BILLABLE CODE - H11.05 for Peripheral pterygium of eye, progressive
  • BILLABLE CODE - Use H11.051 for Peripheral pterygium, progressive, right eye
  • BILLABLE CODE - Use H11.052 for Peripheral pterygium, progressive, left eye
  • BILLABLE CODE - Use H11.053 for Peripheral pterygium, progressive, bilateral
  • BILLABLE CODE - Use H11.059 for Peripheral pterygium, progressive, unspecified eye
  • NON-BILLABLE CODE - H11.06 for Recurrent pterygium of eye
  • BILLABLE CODE - Use H11.061 for Recurrent pterygium of right eye
  • BILLABLE CODE - Use H11.062 for Recurrent pterygium of left eye
  • BILLABLE CODE - Use H11.063 for Recurrent pterygium of eye, bilateral
  • BILLABLE CODE - Use H11.069 for Recurrent pterygium of unspecified eye

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code H11.0:


Type 1 Excludes

Type 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.

Information for Patients


Eye Diseases

Some eye problems are minor and don't last long. But some can lead to a permanent loss of vision.

Common eye problems include

Your best defense is to have regular checkups, because eye diseases do not always have symptoms. Early detection and treatment could prevent vision loss. See an eye care professional right away if you have a sudden change in vision, if everything looks dim, or if you see flashes of light. Other symptoms that need quick attention are pain, double vision, fluid coming from the eye, and inflammation.

NIH: National Eye Institute


[Learn More in MedlinePlus]

Code History

  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)