Is H11.009 a billable ICD-10-CM code?

Yes. H11.009 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does H11.009 sit in the tabular list?

Diseases of the eye and adnexa (H00-H59), in the block Disorders of conjunctiva (H10-H11).

H11.009

H11.009 — Unspecified pterygium of unspecified eye

Billable / specific codeICD-10-CMunspecified

H11.009 is a billable, specific ICD-10-CM code for unspecified pterygium of unspecified eye. It is valid for submission on a claim.

Risk adjustment

H11.009 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Related codes at this level

Codes that share H11.00. If H11.009 is not quite right, the correct code is usually one of these.

H11.001Unspecified pterygium of right eye
H11.002Unspecified pterygium of left eye
H11.003Unspecified pterygium of eye, bilateral

Questions about H11.009

Is H11.009 a billable ICD-10-CM code?: Yes. H11.009 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does H11.009 sit in the tabular list?: Diseases of the eye and adnexa (H00-H59), in the block Disorders of conjunctiva (H10-H11).