ICD-10 Code H11.15 – Pinguecula (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code H11.15 – Pinguecula
What it is
H11.15 identifies pinguecula, a benign conjunctival degeneration. It usually appears as a small yellow-white raised spot on the white of the eye near the cornea.
Clinical signs
Common findings include a visible localized conjunctival lesion, often nasal, with possible irritation, dryness, or redness. Clinical features vary; refer to documentation.
When to use this code
Use H11.15 when the provider documents pinguecula as the diagnosed condition. It fits outpatient eye visits, problem lists, and exams where the lesion is noted without a different conjunctival disorder. If the record mentions inflammation or another specific eye condition, check documentation before coding.
Do not use for
Do not use this code for pterygium, conjunctivitis, or other conjunctival growths. If the note is nonspecific or the lesion is not clearly identified as pinguecula, check documentation.
Coding tip
Code only when the provider explicitly documents pinguecula; do not infer it from a generic “eye spot” description.