ICD-10-CM Billable Code

H11.05

Peripheral pterygium of eye, progressive

Clinical Classification Guidelines

Medical Intelligence & Overview

Peripheral pterygium of the eye is a growth that appears on the conjunctiva, the clear tissue covering the white part of the eye and the inside of the eyelids. When this growth becomes progressive, it can extend onto the cornea, potentially affecting vision and eye comfort. Recognized under ICD-10 code H11.05, this condition often results from environmental exposures and other risk factors. Knowing more about its causes, symptoms, diagnosis, and management options can help in understanding what to expect and the importance of eye care.

Causes & Symptoms

Clinical Causes: Extended exposure to ultraviolet (UV) sunlight Chronic irritation from dust, wind, or smoke Living in arid or dry climates Prolonged eye stress or irritation Genetic predispositions may also play a role

Key Symptoms: Gradual appearance of a fleshy growth on the conjunctiva, typically on the nasal side of the eye Feeling of dryness, irritation, or a gritty sensation in the eye Redness or inflammation around the affected area Progressive growth that may encroach onto the cornea over time Potential visual disturbances if the growth extends onto the corneal surface

Diagnostic & Treatment

Diagnosis Path: Diagnosis usually involves a comprehensive eye examination by an eye care professional. The process includes:

Treatment Protocols: Management of peripheral pterygium focuses on controlling symptoms and preventing progression. Treatment options include:

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 H11.05 a billable ICD-10 code?
Yes, H11.05 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report H11.05?
Clinical documentation must specify the nature of Peripheral pterygium of eye, progressive and any associated comorbidities for accurate reporting.

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