Skip to main content

H16.241 vs H16.242

H16.241 (Ophthalmia nodosa, right eye) compared with H16.242 (Ophthalmia nodosa, left eye), from the official CMS tabular data. H16.241 and H16.242 code the same condition on opposite sides. MedCoder-derived

Relationship

Review

Laterality relationship

H16.241
Right
Ophthalmia nodosa, right eye
H16.242
Left
Ophthalmia nodosa, left 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. H16.241 and H16.242 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

H16.241Ophthalmia nodosa, right eyeH16.242Ophthalmia nodosa, left eye
Billing statusBillableBillable
ClassificationH00-H59 — Diseases of the eye and adnexaH00-H59 — Diseases of the eye and adnexa
DefinitionOphthalmia nodosa, right eye is a billable ICD-10-CM diagnosis code (H16.241).Ophthalmia nodosa, left eye is a billable ICD-10-CM diagnosis code (H16.242).

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