H11.0 — Pterygium of eye
Is H11.0 billable?
No — H11.0 is a non-billable header code. H11.0 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 28 billable codes beneath H11.0.
Billable codes under this header
- H11.001Unspecified pterygium of right eye
- H11.002Unspecified pterygium of left eye
- H11.003Unspecified pterygium of eye, bilateral
- H11.009Unspecified pterygium of unspecified eye
- H11.011Amyloid pterygium of right eye
- H11.012Amyloid pterygium of left eye
- H11.013Amyloid pterygium of eye, bilateral
- H11.019Amyloid pterygium of unspecified eye
- H11.021Central pterygium of right eye
- H11.022Central pterygium of left eye
- H11.023Central pterygium of eye, bilateral
- H11.029Central pterygium of unspecified eye
- H11.031Double pterygium of right eye
- H11.032Double pterygium of left eye
- H11.033Double pterygium of eye, bilateral
- H11.039Double pterygium of unspecified eye
- H11.041Peripheral pterygium, stationary, right eye
- H11.042Peripheral pterygium, stationary, left eye
- H11.043Peripheral pterygium, stationary, bilateral
- H11.049Peripheral pterygium, stationary, unspecified eye
- H11.051Peripheral pterygium, progressive, right eye
- H11.052Peripheral pterygium, progressive, left eye
- H11.053Peripheral pterygium, progressive, bilateral
- H11.059Peripheral pterygium, progressive, unspecified eye
- H11.061Recurrent pterygium of right eye
- H11.062Recurrent pterygium of left eye
- H11.063Recurrent pterygium of eye, bilateral
- H11.069Recurrent pterygium of unspecified eye
H11.0 at a glance
| Code | H11.0 |
|---|---|
| Description | Pterygium of eye |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Excludes1 — never code together
The conditions below can never be reported together with H11.0 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- pseudopterygium (H11.81-)
Excludes1 — never code together — inherited from H11
The conditions below can never be reported together with H11.0 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- keratoconjunctivitis (H16.2-)
Excludes2 — not included here — inherited from Chapter 7
The conditions below are not part of H11.0, but a patient may have both at the same time. When documentation supports it, H11.0 and the excluded code may both be reported.
- 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)
What codes fall under H11.0? (7)
- H11.00Unspecified pterygium of eyenot billable
- H11.01Amyloid pterygiumnot billable
- H11.02Central pterygium of eyenot billable
- H11.03Double pterygium of eyenot billable
- H11.04Peripheral pterygium of eye, stationarynot billable
- H11.05Peripheral pterygium of eye, progressivenot billable
- H11.06Recurrent pterygium of eyenot billable
How long has H11.0 existed?
H11.0 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.