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H16.011 vs H16.019

H16.011 (Central corneal ulcer, right eye) compared with H16.019 (Central corneal ulcer, unspecified eye), from the official CMS tabular data. H16.011 and H16.019 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

H16.011
Right
Central corneal ulcer, right eye
H16.019
Unspecified
Central corneal ulcer, 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. H16.011 and H16.019 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

H16.011Central corneal ulcer, right eyeH16.019Central corneal ulcer, unspecified eye
Billing statusBillableBillable
ClassificationH00-H59 — Diseases of the Eye and Adnexa (H00-H59)H00-H59 — Diseases of the Eye and Adnexa (H00-H59)
DefinitionCentral corneal ulcer, right eye is a billable ICD-10-CM diagnosis code (H16.011).Central corneal ulcer, unspecified eye is a billable ICD-10-CM diagnosis code (H16.019).

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