2027 ICD-10-CM Diagnosis Code H11.152Pinguecula, left eye

ICD-10-CM Codes›H00–H59›H10-H11›H11

ICD-10-CM H11.152
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

H11.152 is a billable ICD-10-CM diagnosis code for pinguecula, left eye. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 124 through 125. Coders also document this condition as pinguecula. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Cornea and external disease.

Code Identity

ICD-10-CM Code
H11.152
Billable Status
Yes — Valid for Submission
Code Describes
Pinguecula, left eye
Short Description
Pinguecula, left eye
Same as the full description in the CMS dataset.
Parent Code
H11.15
Pinguecula

Code Classification

ChapterH00–H59Diseases of the eye and adnexa
SectionH10-H11Disorders of conjunctiva
CategoryH11Other disorders of conjunctiva
This CodeH11.152Pinguecula, left eye

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Pinguecula
  • Pinguecula of left eye

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to H11.152: its own notes plus those printed at H11.15, H11.1, H11, and Chapter 7. A note printed at a category, block or chapter applies to every code under it.

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

From H11.15 Pinguecula applies to 4 codes
From H11 Other disorders of conjunctiva applies to 95 codes

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From H11.1 Conjunctival degenerations and deposits applies to 21 codes
From Chapter 7 (H00-H59) Diseases of the eye and adnexa applies to 2,677 codes
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
  • diabetes mellitus related eye conditions (E09.3-, E10.3-, E11.3-, E13.3-)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury (trauma) of eye and orbit (S05.-)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
  • syphilis related eye disorders (A50.01, A50.3-, A51.43, A52.71)

Notes

General instructions on how these codes are used.

From Chapter 7 (H00-H59) Diseases of the eye and adnexa applies to 2,677 codes
  • Use an external cause code following the code for the eye condition, if applicable, to identify the cause of the eye condition

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name H11.152, its category, or a range that includes it.

Excludes1 1

These codes carry an Excludes1 note naming H11.152: they are not reported together with it, unless the two conditions are unrelated.

  • H10.81 Pingueculitis
    pinguecula (H11.15-) names H11.15-, which includes this code

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR EYE001
Cornea and external disease
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • Pinguecula

    a yellowish thickened lesion on the conjunctiva near the cornea representing a benign degenerative change in the conjunctiva caused by the leakage and deposition of certain blood proteins through the permeable capillaries near the limbus.

Patient EducationClinical

Eye Diseases

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The full article covers:

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Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert H11.152 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
372.51 Pinguecula
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About H11.152Overview

What is the ICD-10 code for pinguecula, left eye?

The ICD-10-CM code for pinguecula, left eye is H11.152 (sometimes written as H11152). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is H11.152 (Pinguecula) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report pinguecula, left eye on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does H11.152 group to?

When pinguecula, left eye is the principal diagnosis on an inpatient stay, it groups to MS-DRG 125, 124, with relative weights from 0.7699 to 1.2470 depending on complications. Higher weights mean higher Medicare reimbursement.

Can H11.152 be reported with a code from H10.81?

Not as a rule. The Excludes1 note at H11.15, which applies to H11.152, lists "pingueculitis (H10.81-)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).

What is the ICD-9 equivalent of H11.152?

Under the General Equivalence Mappings, pinguecula, left eye converts to ICD-9-CM 372.51 (pinguecula). The mapping is approximate, so confirm the match fits the documentation.