ICD-10 · PDGM grouping
H10-H11 — Disorders of conjunctiva
Every ICD-10-CM code in this range and the PDGM clinical group CMS assigns to it, read from the CMS grouper crosswalk v07.2.26.
ICD-10-CM FY2027 · CMS grouper v07.2.26
Codes in range
167
No clinical group
49
A period cannot be grouped from these.
Barred as primary
0
CMS rejects these in the primary position.
Where these codes group
118 of the 167 codes in H10-H11 group to MMTA - Other. A further 49 are assigned no clinical group at all, which means a 30-day period cannot be grouped from them.
Code families in H10-H11
One page per three-character family: every code in it, whether it can lead a claim, its clinical group and comorbidity subgroup.
Every code in H10-H11
Descriptions are CMS’s own, abbreviated as CMS abbreviates them.
| Code | Description | Clinical group | Primary position |
|---|---|---|---|
| H10011 | Acute follicular conjunctivitis, right eye | A | Can lead a claim |
| H10012 | Acute follicular conjunctivitis, left eye | A | Can lead a claim |
| H10013 | Acute follicular conjunctivitis, bilateral | A | Can lead a claim |
| H10019 | Acute follicular conjunctivitis, unspecified eye | None | Cannot lead a claim |
| H10021 | Other mucopurulent conjunctivitis, right eye | A | Can lead a claim |
| H10022 | Other mucopurulent conjunctivitis, left eye | A | Can lead a claim |
| H10023 | Other mucopurulent conjunctivitis, bilateral | A | Can lead a claim |
| H10029 | Other mucopurulent conjunctivitis, unspecified eye | None | Cannot lead a claim |
| H1010 | Acute atopic conjunctivitis, unspecified eye | None | Cannot lead a claim |
| H1011 | Acute atopic conjunctivitis, right eye | A | Can lead a claim |
| H1012 | Acute atopic conjunctivitis, left eye | A | Can lead a claim |
| H1013 | Acute atopic conjunctivitis, bilateral | A | Can lead a claim |
| H10211 | Acute toxic conjunctivitis, right eye | None | Cannot lead a claim |
| H10212 | Acute toxic conjunctivitis, left eye | None | Cannot lead a claim |
| H10213 | Acute toxic conjunctivitis, bilateral | None | Cannot lead a claim |
| H10219 | Acute toxic conjunctivitis, unspecified eye | None | Cannot lead a claim |
| H10221 | Pseudomembranous conjunctivitis, right eye | A | Can lead a claim |
| H10222 | Pseudomembranous conjunctivitis, left eye | A | Can lead a claim |
| H10223 | Pseudomembranous conjunctivitis, bilateral | A | Can lead a claim |
| H10229 | Pseudomembranous conjunctivitis, unspecified eye | None | Cannot lead a claim |
| H10231 | Serous conjunctivitis, except viral, right eye | A | Can lead a claim |
| H10232 | Serous conjunctivitis, except viral, left eye | A | Can lead a claim |
| H10233 | Serous conjunctivitis, except viral, bilateral | A | Can lead a claim |
| H10239 | Serous conjunctivitis, except viral, unspecified eye | None | Cannot lead a claim |
| H1030 | Unspecified acute conjunctivitis, unspecified eye | None | Cannot lead a claim |
| H1031 | Unspecified acute conjunctivitis, right eye | A | Can lead a claim |
| H1032 | Unspecified acute conjunctivitis, left eye | A | Can lead a claim |
| H1033 | Unspecified acute conjunctivitis, bilateral | A | Can lead a claim |
| H10401 | Unspecified chronic conjunctivitis, right eye | A | Can lead a claim |
| H10402 | Unspecified chronic conjunctivitis, left eye | A | Can lead a claim |
| H10403 | Unspecified chronic conjunctivitis, bilateral | A | Can lead a claim |
| H10409 | Unspecified chronic conjunctivitis, unspecified eye | None | Cannot lead a claim |
| H10411 | Chronic giant papillary conjunctivitis, right eye | A | Can lead a claim |
| H10412 | Chronic giant papillary conjunctivitis, left eye | A | Can lead a claim |
| H10413 | Chronic giant papillary conjunctivitis, bilateral | A | Can lead a claim |
| H10419 | Chronic giant papillary conjunctivitis, unspecified eye | None | Cannot lead a claim |
| H10421 | Simple chronic conjunctivitis, right eye | A | Can lead a claim |
| H10422 | Simple chronic conjunctivitis, left eye | A | Can lead a claim |
| H10423 | Simple chronic conjunctivitis, bilateral | A | Can lead a claim |
| H10429 | Simple chronic conjunctivitis, unspecified eye | None | Cannot lead a claim |
| H10431 | Chronic follicular conjunctivitis, right eye | A | Can lead a claim |
| H10432 | Chronic follicular conjunctivitis, left eye | A | Can lead a claim |
| H10433 | Chronic follicular conjunctivitis, bilateral | A | Can lead a claim |
| H10439 | Chronic follicular conjunctivitis, unspecified eye | None | Cannot lead a claim |
| H1044 | Vernal conjunctivitis | A | Can lead a claim |
| H1045 | Other chronic allergic conjunctivitis | A | Can lead a claim |
| H10501 | Unspecified blepharoconjunctivitis, right eye | A | Can lead a claim |
| H10502 | Unspecified blepharoconjunctivitis, left eye | A | Can lead a claim |
| H10503 | Unspecified blepharoconjunctivitis, bilateral | A | Can lead a claim |
| H10509 | Unspecified blepharoconjunctivitis, unspecified eye | None | Cannot lead a claim |
| H10511 | Ligneous conjunctivitis, right eye | A | Can lead a claim |
| H10512 | Ligneous conjunctivitis, left eye | A | Can lead a claim |
| H10513 | Ligneous conjunctivitis, bilateral | A | Can lead a claim |
| H10519 | Ligneous conjunctivitis, unspecified eye | None | Cannot lead a claim |
| H10521 | Angular blepharoconjunctivitis, right eye | A | Can lead a claim |
| H10522 | Angular blepharoconjunctivitis, left eye | A | Can lead a claim |
| H10523 | Angular blepharoconjunctivitis, bilateral | A | Can lead a claim |
| H10529 | Angular blepharoconjunctivitis, unspecified eye | None | Cannot lead a claim |
| H10531 | Contact blepharoconjunctivitis, right eye | A | Can lead a claim |
| H10532 | Contact blepharoconjunctivitis, left eye | A | Can lead a claim |
| H10533 | Contact blepharoconjunctivitis, bilateral | A | Can lead a claim |
| H10539 | Contact blepharoconjunctivitis, unspecified eye | None | Cannot lead a claim |
| H10811 | Pingueculitis, right eye | A | Can lead a claim |
| H10812 | Pingueculitis, left eye | A | Can lead a claim |
| H10813 | Pingueculitis, bilateral | A | Can lead a claim |
| H10819 | Pingueculitis, unspecified eye | None | Cannot lead a claim |
| H10821 | Rosacea conjunctivitis, right eye | None | Cannot lead a claim |
| H10822 | Rosacea conjunctivitis, left eye | None | Cannot lead a claim |
| H10823 | Rosacea conjunctivitis, bilateral | None | Cannot lead a claim |
| H10829 | Rosacea conjunctivitis, unspecified eye | None | Cannot lead a claim |
| H1089 | Other conjunctivitis | A | Can lead a claim |
| H109 | Unspecified conjunctivitis | None | Cannot lead a claim |
| H11001 | Unspecified pterygium of right eye | A | Can lead a claim |
| H11002 | Unspecified pterygium of left eye | A | Can lead a claim |
| H11003 | Unspecified pterygium of eye, bilateral | A | Can lead a claim |
| H11009 | Unspecified pterygium of unspecified eye | None | Cannot lead a claim |
| H11011 | Amyloid pterygium of right eye | A | Can lead a claim |
| H11012 | Amyloid pterygium of left eye | A | Can lead a claim |
| H11013 | Amyloid pterygium of eye, bilateral | A | Can lead a claim |
| H11019 | Amyloid pterygium of unspecified eye | None | Cannot lead a claim |
| H11021 | Central pterygium of right eye | A | Can lead a claim |
| H11022 | Central pterygium of left eye | A | Can lead a claim |
| H11023 | Central pterygium of eye, bilateral | A | Can lead a claim |
| H11029 | Central pterygium of unspecified eye | None | Cannot lead a claim |
| H11031 | Double pterygium of right eye | A | Can lead a claim |
| H11032 | Double pterygium of left eye | A | Can lead a claim |
| H11033 | Double pterygium of eye, bilateral | A | Can lead a claim |
| H11039 | Double pterygium of unspecified eye | None | Cannot lead a claim |
| H11041 | Peripheral pterygium, stationary, right eye | A | Can lead a claim |
| H11042 | Peripheral pterygium, stationary, left eye | A | Can lead a claim |
| H11043 | Peripheral pterygium, stationary, bilateral | A | Can lead a claim |
| H11049 | Peripheral pterygium, stationary, unspecified eye | None | Cannot lead a claim |
| H11051 | Peripheral pterygium, progressive, right eye | A | Can lead a claim |
| H11052 | Peripheral pterygium, progressive, left eye | A | Can lead a claim |
| H11053 | Peripheral pterygium, progressive, bilateral | A | Can lead a claim |
| H11059 | Peripheral pterygium, progressive, unspecified eye | None | Cannot lead a claim |
| H11061 | Recurrent pterygium of right eye | A | Can lead a claim |
| H11062 | Recurrent pterygium of left eye | A | Can lead a claim |
| H11063 | Recurrent pterygium of eye, bilateral | A | Can lead a claim |
| H11069 | Recurrent pterygium of unspecified eye | None | Cannot lead a claim |
| H1110 | Unspecified conjunctival degenerations | None | Cannot lead a claim |
| H11111 | Conjunctival deposits, right eye | A | Can lead a claim |
| H11112 | Conjunctival deposits, left eye | A | Can lead a claim |
| H11113 | Conjunctival deposits, bilateral | A | Can lead a claim |
| H11119 | Conjunctival deposits, unspecified eye | None | Cannot lead a claim |
| H11121 | Conjunctival concretions, right eye | A | Can lead a claim |
| H11122 | Conjunctival concretions, left eye | A | Can lead a claim |
| H11123 | Conjunctival concretions, bilateral | A | Can lead a claim |
| H11129 | Conjunctival concretions, unspecified eye | None | Cannot lead a claim |
| H11131 | Conjunctival pigmentations, right eye | A | Can lead a claim |
| H11132 | Conjunctival pigmentations, left eye | A | Can lead a claim |
| H11133 | Conjunctival pigmentations, bilateral | A | Can lead a claim |
| H11139 | Conjunctival pigmentations, unspecified eye | None | Cannot lead a claim |
| H11141 | Conjunctival xerosis, unspecified, right eye | A | Can lead a claim |
| H11142 | Conjunctival xerosis, unspecified, left eye | A | Can lead a claim |
| H11143 | Conjunctival xerosis, unspecified, bilateral | A | Can lead a claim |
| H11149 | Conjunctival xerosis, unspecified, unspecified eye | None | Cannot lead a claim |
| H11151 | Pinguecula, right eye | A | Can lead a claim |
| H11152 | Pinguecula, left eye | A | Can lead a claim |
| H11153 | Pinguecula, bilateral | A | Can lead a claim |
| H11159 | Pinguecula, unspecified eye | None | Cannot lead a claim |
| H11211 | Conjunctival adhesions and strands (localized), right eye | A | Can lead a claim |
| H11212 | Conjunctival adhesions and strands (localized), left eye | A | Can lead a claim |
| H11213 | Conjunctival adhesions and strands (localized), bilateral | A | Can lead a claim |
| H11219 | Conjunctival adhesions and strands (localized), unsp eye | None | Cannot lead a claim |
| H11221 | Conjunctival granuloma, right eye | A | Can lead a claim |
| H11222 | Conjunctival granuloma, left eye | A | Can lead a claim |
| H11223 | Conjunctival granuloma, bilateral | A | Can lead a claim |
| H11229 | Conjunctival granuloma, unspecified | None | Cannot lead a claim |
| H11231 | Symblepharon, right eye | A | Can lead a claim |
| H11232 | Symblepharon, left eye | A | Can lead a claim |
| H11233 | Symblepharon, bilateral | A | Can lead a claim |
| H11239 | Symblepharon, unspecified eye | None | Cannot lead a claim |
| H11241 | Scarring of conjunctiva, right eye | A | Can lead a claim |
| H11242 | Scarring of conjunctiva, left eye | A | Can lead a claim |
| H11243 | Scarring of conjunctiva, bilateral | A | Can lead a claim |
| H11249 | Scarring of conjunctiva, unspecified eye | None | Cannot lead a claim |
| H1130 | Conjunctival hemorrhage, unspecified eye | None | Cannot lead a claim |
| H1131 | Conjunctival hemorrhage, right eye | A | Can lead a claim |
| H1132 | Conjunctival hemorrhage, left eye | A | Can lead a claim |
| H1133 | Conjunctival hemorrhage, bilateral | A | Can lead a claim |
| H11411 | Vascular abnormalities of conjunctiva, right eye | A | Can lead a claim |
| H11412 | Vascular abnormalities of conjunctiva, left eye | A | Can lead a claim |
| H11413 | Vascular abnormalities of conjunctiva, bilateral | A | Can lead a claim |
| H11419 | Vascular abnormalities of conjunctiva, unspecified eye | None | Cannot lead a claim |
| H11421 | Conjunctival edema, right eye | A | Can lead a claim |
| H11422 | Conjunctival edema, left eye | A | Can lead a claim |
| H11423 | Conjunctival edema, bilateral | A | Can lead a claim |
| H11429 | Conjunctival edema, unspecified eye | None | Cannot lead a claim |
| H11431 | Conjunctival hyperemia, right eye | A | Can lead a claim |
| H11432 | Conjunctival hyperemia, left eye | A | Can lead a claim |
| H11433 | Conjunctival hyperemia, bilateral | A | Can lead a claim |
| H11439 | Conjunctival hyperemia, unspecified eye | None | Cannot lead a claim |
| H11441 | Conjunctival cysts, right eye | A | Can lead a claim |
| H11442 | Conjunctival cysts, left eye | A | Can lead a claim |
| H11443 | Conjunctival cysts, bilateral | A | Can lead a claim |
| H11449 | Conjunctival cysts, unspecified eye | None | Cannot lead a claim |
| H11811 | Pseudopterygium of conjunctiva, right eye | A | Can lead a claim |
| H11812 | Pseudopterygium of conjunctiva, left eye | A | Can lead a claim |
| H11813 | Pseudopterygium of conjunctiva, bilateral | A | Can lead a claim |
| H11819 | Pseudopterygium of conjunctiva, unspecified eye | None | Cannot lead a claim |
| H11821 | Conjunctivochalasis, right eye | A | Can lead a claim |
| H11822 | Conjunctivochalasis, left eye | A | Can lead a claim |
| H11823 | Conjunctivochalasis, bilateral | A | Can lead a claim |
| H11829 | Conjunctivochalasis, unspecified eye | None | Cannot lead a claim |
| H1189 | Other specified disorders of conjunctiva | A | Can lead a claim |
| H119 | Unspecified disorder of conjunctiva | None | Cannot lead a claim |
Source: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
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