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H16.201 vs H16.209

H16.201 (Unspecified keratoconjunctivitis, right eye) compared with H16.209 (Unspecified keratoconjunctivitis, unspecified eye), from the official CMS tabular data. H16.201 and H16.209 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

H16.201
Right
Unspecified keratoconjunctivitis, right eye
H16.209
Unspecified
Unspecified keratoconjunctivitis, 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. H16.201 and H16.209 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

H16.201Unspecified keratoconjunctivitis, right eyeH16.209Unspecified keratoconjunctivitis, unspecified eye
Billing statusBillableBillable
ClassificationH00-H59 — Diseases of the Eye and Adnexa (H00-H59)H00-H59 — Diseases of the Eye and Adnexa (H00-H59)
DefinitionUnspecified keratoconjunctivitis, right eye is a billable ICD-10-CM diagnosis code (H16.201).Unspecified keratoconjunctivitis, unspecified eye is a billable ICD-10-CM diagnosis code (H16.209).

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