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Compare/H00.0 vs L05

H00.0 vs L05

H00.0 (Hordeolum (externum) (internum) of eyelid) compared with L05 (Pilonidal cyst and sinus), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).

Can these codes be reported together?

Yes, when both are documented. L05 carries an Excludes2 note covering H00.0: “hordeolum (H00.0)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Side by side

H00.0Hordeolum (externum) (internum) of eyelidL05Pilonidal cyst and sinus
Billing statusNon-billable header

Report instead: H00.011, H00.012, H00.013, H00.014, H00.015

Non-billable header

Report instead: L05.01, L05.02, L05.91, L05.92

ClassificationH00-H59 — Diseases of the Eye and Adnexa (H00-H59)L00-L99 — Diseases of the Skin and Subcutaneous Tissue (L00-L99)
DefinitionHordeolum (externum) (internum) of eyelid is a non-billable ICD-10-CM category code (H00.0).Pilonidal cyst and sinus is a non-billable ICD-10-CM category code (L05).
Use additional code
code (B95-B97) to identify infectious agent.

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources