ICD-10 H11.243
Billable / SpecificScarring of conjunctiva, bilateral
About ICD-10-CM H11.243
ICD-10-CM code H11.243 represents Scarring of conjunctiva, bilateral. This is a billable/specific code in the Eye and Adnexa chapter (block H11). The 2026 edition of ICD-10-CM H11.243 became effective on October 1, 2025.
Medicare LCD Coverage for H11.243
Local Coverage Determinations (LCDs) from CMS MACs that list H11.243 as a covered diagnosis.
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Commercial Payer Coverage
Coverage policies from major commercial payers referencing H11.243.
1 Medicare
CPT Codes Commonly Billed with H11.243
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
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 H11.243 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| H11.243 | 37264 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To H11.243
Other codes in section H10-H11 (Disorders of conjunctiva).
ICD-10 H11.243, Billing FAQ
Is ICD-10 code H11.243 billable? +
Yes, H11.243 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What ICD-9 codes does H11.243 map to? +
Per CMS GEMs, H11.243 maps to ICD-9 codes: 37264. Useful for legacy data review and historical claim analysis.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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