H11.89 — Other specified disorders of conjunctiva
H11.89 is a billable, specific ICD-10-CM code for other specified disorders of conjunctiva. It is valid for submission on a claim.
Risk adjustment
H11.89 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.
Medicare coverage
H11.89 is named in 1 Medicare coverage policy — 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A57068Billing and Coding: Ocular Photography - External
How H11.89 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to H11.89.
- Atrophy, atrophic›conjunctiva(senile)
- Emphysema›conjunctiva
- Hypertrophy, hypertrophic›conjunctiva, lymphoid
- Lymphangiectasis›conjunctiva
- Disease, diseased›conjunctiva›specified NEC
Related codes at this level
Codes that share H11.8. If H11.89 is not quite right, the correct code is usually one of these.
Questions about H11.89
- Is H11.89 a billable ICD-10-CM code?
- Yes. H11.89 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does H11.89 sit in the tabular list?
- Diseases of the eye and adnexa (H00-H59), in the block Disorders of conjunctiva (H10-H11).