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H11.011 vs H11.019

H11.011 (Amyloid pterygium of right eye) compared with H11.019 (Amyloid pterygium of unspecified eye), from the official CMS tabular data. H11.011 and H11.019 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

H11.011
Right
Amyloid pterygium of right eye
H11.019
Unspecified
Amyloid pterygium of unspecified eye

Same condition; these differ only in which side is documented.

These codes share a category and title and differ only in the side affected. The documentation decides which applies, and a bilateral code is reported only where the code set provides one.

Source: ICD-10-CM tabular list (laterality variant derived from the code title)

Can these codes be reported together?

Same condition, opposite side. H11.011 and H11.019 name the same condition on opposite sides of the body.

Same category and title, differing only in which side is affected — the documentation decides which one applies, and a bilateral code is reported only where the code set provides one.

Side by side

H11.011Amyloid pterygium of right eyeH11.019Amyloid pterygium of unspecified eye
Billing statusBillableBillable
ClassificationH00-H59 — Diseases of the Eye and Adnexa (H00-H59)H00-H59 — Diseases of the Eye and Adnexa (H00-H59)
DefinitionAmyloid pterygium of right eye is a billable ICD-10-CM diagnosis code (H11.011).Amyloid pterygium of unspecified eye is a billable ICD-10-CM diagnosis code (H11.019).

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