ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 H11.039

Billable / Specific

Double pterygium of unspecified eye

H11
Block
0
Synonyms
0
LCDs
2
Payer Policies
0
Linked CPTs

About ICD-10-CM H11.039

ICD-10-CM code H11.039 represents Double pterygium of unspecified eye. This is a billable/specific code in the Eye and Adnexa chapter (block H11). The 2026 edition of ICD-10-CM H11.039 became effective on October 1, 2025.

Medicare LCD Coverage for H11.039

Local Coverage Determinations (LCDs) from CMS MACs that list H11.039 as a covered diagnosis.

No Medicare LCDs reference H11.039 as covered

This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.

Commercial Payer Coverage

Coverage policies from major commercial payers referencing H11.039.

2 policies

2 Aetna

Corneal Graft and Amniotic Membrane Transplantation, Corneal Stromal Lenticule Transplantation, Limbal Stem Cell Transplantation, or Sural Nerve Grafting for Ocular Indications
Policy ID: CPB-0293
External Ocular Photography
Policy ID: CPB-0734

CPT Codes Commonly Billed with H11.039

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for H11.039

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

Convert H11.039 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
H11.039 37244 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 H11.039, Billing FAQ

Is ICD-10 code H11.039 billable? +

Yes, H11.039 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What ICD-9 codes does H11.039 map to? +

Per CMS GEMs, H11.039 maps to ICD-9 codes: 37244. Useful for legacy data review and historical claim analysis.

Get the full PayerReady toolkit

Free access to CPT/ICD-10 lookup, denial appeals, fee comparator, and claim auditing with credentialing enrollment.

Start free →

Run this code through our claim audit tool

Check NCCI bundling, MUE limits, and modifier logic before submission.

Try the auditor →

Did this page help?

Quick signal so we know what to improve.

Thanks!

If you want a code reference page that doesn't exist yet, email coding@payerready.com.

Sorry to hear that.

Tell us what's missing or wrong: coding@payerready.com. We respond within 5 business days.

Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on June 1, 2026.

Powered by 11K CPT · 98K ICD-10 · 860K MPFS rates · 4.5M NCCI edits · 9.5M NPIs. Our data methodology · About our coding team

Faster Approvals

Ready to Cut Your Enrollment Timeline in Half?

Join providers in all 50 states who handed off credentialing to a dedicated specialist. Create your free account in minutes and start enrolling the same day.

All 50 States Covered
No Long-Term Contracts
HIPAA HIPAA Compliant Platform
Dedicated Specialist Included