H11.152
H11.152: Pinguecula, left eye
Billable / specific codeICD-10-CMleft
H11.152 is a billable, specific ICD-10-CM code for pinguecula, left eye. It is valid for submission on a claim.
Check H11.152 with the rest of the claim: free scrubberExcludes1 inherited from the categories above H11.152
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above H11.152
Not part of this code, but both may be coded when both are present.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
H11.152 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A57068Billing and Coding: Ocular Photography - External
Code history
Unchanged in every release from FY2024 to FY2027.