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H16.261 vs H16.269

H16.261 (Vernal keratoconjunctivitis, with limbar and corneal involvement, right eye) compared with H16.269 (Vernal keratoconjunctivitis, with limbar and corneal involvement, unspecified eye), from the official CMS tabular data. H16.261 and H16.269 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

H16.261
Right
Vernal keratoconjunctivitis, with limbar and corneal involvement, right eye
H16.269
Unspecified
Vernal keratoconjunctivitis, with limbar and corneal involvement, 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. H16.261 and H16.269 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

H16.261Vernal keratoconjunctivitis, with limbar and corneal involvement, right eyeH16.269Vernal keratoconjunctivitis, with limbar and corneal involvement, unspecified eye
Billing statusBillableBillable
ClassificationH00-H59 — Diseases of the Eye and Adnexa (H00-H59)H00-H59 — Diseases of the Eye and Adnexa (H00-H59)
DefinitionVernal keratoconjunctivitis, with limbar and corneal involvement, right eye is a billable ICD-10-CM diagnosis code (H16.261).Vernal keratoconjunctivitis, with limbar and corneal involvement, unspecified eye is a billable ICD-10-CM diagnosis code (H16.269).

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