H10.81 vs H11.15
H10.81 (Pingueculitis) compared with H11.15 (Pinguecula), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.
Can these codes be reported together?
No — do not report together. H10.81 carries an Excludes1 note covering H11.15: “pinguecula (H11.15-)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
No — do not report together. H11.15 carries an Excludes1 note covering H10.81: “pingueculitis (H10.81-)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
Side by side
| H10.81Pingueculitis | H11.15Pinguecula | |
|---|---|---|
| Billing status | Non-billable header | Non-billable header |
| Classification | H00-H59 — Diseases of the Eye and Adnexa (H00-H59) | H00-H59 — Diseases of the Eye and Adnexa (H00-H59) |
| Definition | Pingueculitis is a non-billable ICD-10-CM category code (H10.81). | Pinguecula is a non-billable ICD-10-CM category code (H11.15). |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources