Is H11.049 a billable ICD-10-CM code?

Yes. H11.049 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does H11.049 sit in the tabular list?

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

H11.049

H11.049 — Peripheral pterygium, stationary, unspecified eye

Billable / specific codeICD-10-CMunspecified

H11.049 is a billable, specific ICD-10-CM code for peripheral pterygium, stationary, unspecified eye. It is valid for submission on a claim.

Risk adjustment

H11.049 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 H11.04. If H11.049 is not quite right, the correct code is usually one of these.

H11.041Peripheral pterygium, stationary, right eye
H11.042Peripheral pterygium, stationary, left eye
H11.043Peripheral pterygium, stationary, bilateral

Questions about H11.049

Is H11.049 a billable ICD-10-CM code?: Yes. H11.049 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does H11.049 sit in the tabular list?: Diseases of the eye and adnexa (H00-H59), in the block Disorders of conjunctiva (H10-H11).