ICD-10-CM Billable Code

H11.123

Conjunctival concretions, bilateral

Clinical Classification Guidelines

Medical Intelligence & Overview

Conjunctival concretions are tiny, hardened deposits that form on the conjunctiva, the clear membrane covering the white part of the eye and the inside of the eyelids. When these deposits are present on both eyes, they are termed bilateral conjunctival concretions. Although often small and asymptomatic, their presence can sometimes lead to discomfort or irritation. Recognizing and understanding this condition can help in managing eye health effectively.

Causes & Symptoms

Clinical Causes: Aging process leading to degeneration of conjunctival tissues Chronic inflammation or irritation of the conjunctiva Previous eye infections or injuries Degeneration of conjunctival tissue due to exposure to environmental factors Calcium or other mineral deposits accumulating over time

Key Symptoms: Bright or white spots visible on the conjunctiva Occasional discomfort or a sensation of foreign body in the eye Redness or mild irritation Sensitivity to light in some cases Rarely, loss of vision or increased tearing if the concretions irritate the cornea

Diagnostic & Treatment

Diagnosis Path: Diagnosis generally involves a comprehensive eye examination carried out by an ophthalmologist or optometrist. During the exam, the clinician inspects the conjunctiva with specialized tools, such as a slit lamp, to identify the characteristic deposits. In some cases, the doctor may use staining techniques to better visualize the concretions and assess any associated tissue changes. The patient's medical history and any symptoms experienced are also considered to arrive at an accurate diagnosis.

Treatment Protocols: Treatment options for conjunctival concretions depend on their size, location, and whether they cause symptoms. Approaches may include: - Observation: Small, asymptomatic concretions often require no treatment and may resolve on their own. - Mechanical removal: For symptomatic or bothersome concretions, a healthcare professional can gently extract them using fine surgical instruments. - Topical medications: Eye drops or ointments containing lubricants can alleviate discomfort. - Addressing underlying causes: Managing chronic conjunctival inflammation or irritation may help prevent recurrence. In rare cases where concretions are recurrent or resistant to removal, surgical intervention may be considered, typically performed by an ophthalmologist. Patients are advised not to attempt self-removal, as improper handling can lead to additional irritation or injury.

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 H11.123 a billable ICD-10 code?
Yes, H11.123 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report H11.123?
Clinical documentation must specify the nature of Conjunctival concretions, bilateral and any associated comorbidities for accurate reporting.

Cite this Clinical Reference