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H11.041 vs H11.049

H11.041 (Peripheral pterygium, stationary, right eye) compared with H11.049 (Peripheral pterygium, stationary, unspecified eye), from the official CMS tabular data. H11.041 and H11.049 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

H11.041
Right
Peripheral pterygium, stationary, right eye
H11.049
Unspecified
Peripheral pterygium, stationary, 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. H11.041 and H11.049 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

H11.041Peripheral pterygium, stationary, right eyeH11.049Peripheral pterygium, stationary, unspecified eye
Billing statusBillableBillable
ClassificationH00-H59 — Diseases of the Eye and Adnexa (H00-H59)H00-H59 — Diseases of the Eye and Adnexa (H00-H59)
DefinitionPeripheral pterygium, stationary, right eye is a billable ICD-10-CM diagnosis code (H11.041).Peripheral pterygium, stationary, unspecified eye is a billable ICD-10-CM diagnosis code (H11.049).

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