ICD-10-CM Billable Code

H11.013

Amyloid pterygium of eye, bilateral

Clinical Classification Guidelines

Medical Intelligence & Overview

Amyloid pterygium of the eye is a rare ocular condition characterized by the development of amyloid deposits on the conjunctiva. When it affects both eyes simultaneously, it is referred to as bilateral amyloid pterygium. This condition can influence the appearance and functioning of the eyes, often leading to visual disturbances if left untreated. Understanding the causes, symptoms, and potential management approaches can help in early diagnosis and care.

Causes & Symptoms

Clinical Causes: Genetic predisposition leading to abnormal protein deposition in ocular tissues Chronic ocular surface inflammation or irritation Degenerative changes associated with aging Localized trauma or injury to the eye Certain inherited or systemic conditions linked to amyloid buildup

Key Symptoms: Appearance of a semi-transparent, grayish or yellowish lesion growing from the conjunctiva onto the cornea Visual disturbances, such as blurriness or glare, when the lesion progresses Foreign body sensation in the affected eye(s) Redness or irritation of the conjunctiva Potential for the lesion to enlarge over time, impairing eye function

Diagnostic & Treatment

Diagnosis Path: - Special staining techniques, such as Congo red stain, help in confirming amyloid tissue

Treatment Protocols: - Regular follow-up: Essential for monitoring potential recurrence or progression

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is H11.013 a billable ICD-10 code?
Yes, H11.013 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report H11.013?
Clinical documentation must specify the nature of Amyloid pterygium of eye, bilateral and any associated comorbidities for accurate reporting.

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