H11.0
Header — not billablePterygium of eye
The ICD-10 code for pterygium of eye is H11.0.
H11.0 is a non-billable header code. It groups related conditions but cannot be used on its own for reimbursement — select one of the 7 more specific codes below.
Clinical notes
Excludes1 (not coded here)
An Excludes1 note is a pure exclusion: the excluded condition and this code should never be reported together, because the two conditions cannot occur at the same time (e.g. a congenital form vs. an acquired form of the same disease).
- pseudopterygium (H11.81-)
Documentation support
General coding-documentation guidance — not a substitute for payer-specific requirements or professional coding judgment.
- •This is a non-billable header code. Documentation must support a more specific child code before this diagnosis can be reported on a claim.
- •Confirm the excluded condition(s) listed above are not also present — Excludes1 conditions cannot be coded together with this one.
- •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.
Child codes under H11.0
- H11.00Unspecified pterygium of eyenon-billable header
- H11.01Amyloid pterygiumnon-billable header
- H11.02Central pterygium of eyenon-billable header
- H11.03Double pterygium of eyenon-billable header
- H11.04Peripheral pterygium of eye, stationarynon-billable header
- H11.05Peripheral pterygium of eye, progressivenon-billable header
- H11.06Recurrent pterygium of eyenon-billable header
Related codes in this category
- H11.1Conjunctival degenerations and depositsnon-billable header
- H11.2Conjunctival scarsnon-billable header
- H11.3Conjunctival hemorrhagenon-billable header
- H11.4Other conjunctival vascular disorders and cystsnon-billable header
- H11.8Other specified disorders of conjunctivanon-billable header
- H11.9Unspecified disorder of conjunctiva
- H11.0Pterygium of eyenon-billable header