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H15.811 vs H15.819

H15.811 (Equatorial staphyloma, right eye) compared with H15.819 (Equatorial staphyloma, unspecified eye), from the official CMS tabular data. H15.811 and H15.819 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

H15.811
Right
Equatorial staphyloma, right eye
H15.819
Unspecified
Equatorial staphyloma, 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. H15.811 and H15.819 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

H15.811Equatorial staphyloma, right eyeH15.819Equatorial staphyloma, unspecified eye
Billing statusBillableBillable
ClassificationH00-H59 — Diseases of the Eye and Adnexa (H00-H59)H00-H59 — Diseases of the Eye and Adnexa (H00-H59)
DefinitionEquatorial staphyloma, right eye is a billable ICD-10-CM diagnosis code (H15.811).Equatorial staphyloma, unspecified eye is a billable ICD-10-CM diagnosis code (H15.819).

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