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H11.012 vs H11.019

H11.012 (Amyloid pterygium of left eye) compared with H11.019 (Amyloid pterygium of unspecified eye), from the official CMS tabular data. H11.012 and H11.019 code the same condition on opposite sides. MedCoder-derived

Relationship

Review

Laterality relationship

H11.012
Left
Amyloid pterygium of left 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. H11.012 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

H11.012Amyloid pterygium of left eyeH11.019Amyloid pterygium of unspecified eye
Billing statusBillableBillable
ClassificationH00-H59 — Diseases of the eye and adnexaH00-H59 — Diseases of the eye and adnexa
DefinitionAmyloid pterygium of left eye is a billable ICD-10-CM diagnosis code (H11.012).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