ICD-10-CM Billable Code

H11.033

Double pterygium of eye, bilateral

Clinical Classification Guidelines

Medical Intelligence & Overview

Double pterygium of the eye, classified under ICD-10 code H11.033, is a condition characterized by the growth of abnormal, wing-shaped tissue on the conjunctiva, the clear tissue covering the white part of the eye. When these growths occur on both eyes, it is referred to as bilateral double pterygium. This condition can affect vision and cause discomfort, often necessitating medical evaluation and management.

Causes & Symptoms

Clinical Causes: Prolonged exposure to sunlight (UV radiation) Chronic eye irritation or inflammation Environmental factors such as wind, dust, or sand Genetic predisposition History of eye trauma or surgery Living in sunny or arid climates

Key Symptoms: Raised, fleshy, triangular growths on the nasal or temporal side of the eye Redness and inflammation around the growths Feeling of grittiness or foreign body sensation Irritation or dryness in the eyes Potential decrease in visual acuity if the growths encroach on the cornea Cosmetic concern due to visible eye lesions

Diagnostic & Treatment

Diagnosis Path: Diagnosis of bilateral double pterygium involves a comprehensive eye examination performed by an ophthalmologist. The process includes visual acuity testing and slit-lamp biomicroscopy to observe the characteristic tissue growths. The doctor will assess the extent and location of the pterygia and check for any impact on the cornea or vision. In some cases, imaging or additional tests may be used to evaluate the tissue further. Accurate diagnosis is essential for planning appropriate treatment.

Treatment Protocols: Treatment options for bilateral double pterygium aim to remove the abnormal tissue and alleviate symptoms, with surgical excision being the primary approach for significant cases. The procedure involves carefully removing the pterygium tissue from the conjunctiva, often followed by measures to prevent recurrence, such as conjunctival autografting or use of medications. Non-surgical management includes using lubricating eye drops or anti-inflammatory medications to reduce irritation and inflammation. Prevention strategies focus on minimizing exposure to environmental risk factors by wearing sunglasses and protective eyewear when outdoors.

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 H11.033 a billable ICD-10 code?
Yes, H11.033 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report H11.033?
Clinical documentation must specify the nature of Double pterygium of eye, bilateral and any associated comorbidities for accurate reporting.

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