ICD-10-CM Billable Code

H11.03

Double pterygium of eye

Clinical Classification Guidelines

Medical Intelligence & Overview

Double pterygium is a rare eye condition characterized by the growth of abnormal tissue on the cornea, typically appearing as a wing-shaped lesion. When it occurs on both eyes, it is classified as 'double pterygium.' This condition can affect vision and eye comfort, often necessitating medical evaluation and management. Although not common, understanding the features, causes, symptoms, diagnosis, and treatment options can help in managing this eye condition effectively.

Causes & Symptoms

Clinical Causes: Prolonged exposure to ultraviolet (UV) light from the sun Chronic eye irritation or inflammation Genetic predisposition Environmental factors such as wind, dust, and pollution Wear and tear from environmental exposure over time

Key Symptoms: Growth of a visible tissue on the cornea Redness and swelling of the affected eye Sensation of dryness or grit in the eye Blurring or obstruction of vision if the growth encroaches on the cornea Increased tearing or irritation Possible discomfort or foreign body sensation

Diagnostic & Treatment

Diagnosis Path: - Visual inspection of the eye to identify the characteristic wing-shaped growths - Slit-lamp examination to assess the extent and location of the pterygium - If necessary, imaging tests such as anterior segment optical coherence tomography (AS-OCT) to evaluate tissue depth and involvement - Differential diagnosis to rule out other ocular surface lesions or growths

Treatment Protocols: Observational management for small, asymptomatic pterygia, with regular monitoring Use of artificial tears or lubricating eye drops to reduce dryness and irritation Protective measures such as sunglasses and hats to shield eyes from UV exposure Surgical removal for larger or progressing pterygia that impair vision, cause significant discomfort, or have a tendency to recur Postoperative care may include steroid eye drops or other medications to reduce inflammation and prevent recurrence

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 H11.03 a billable ICD-10 code?
Yes, H11.03 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report H11.03?
Clinical documentation must specify the nature of Double pterygium of eye and any associated comorbidities for accurate reporting.

Cite this Clinical Reference