Diagnosis Code 372.51. ICD-9: 372.51. Short Description: Pinguecula. Long Description: Pinguecula. This is the 2014 version of the ICD-9-CM diagnosis code 372.51. Code Classification. Diseases of the sense organs (360–389) Disorders of the eye and adnexa (360-379) 372 Disorders of conjunctiva.
The ICD-9 code range DISORDERS OF THE EYE AND ADNEXA for 360-379 is medical classification list by the World Health Organization (WHO). Subscribe to Codify and get the code details in a flash.
ICD-9 Code 372.51 A relatively common non-malignant, raised yellow-white lesion of the interpalpebral bulbar conjunctiva that does not involve the cornea and represents elastoic degeneration of subepithelial collagen with hyalinized connective tissue.
Most pingueculae are asymptomatic but may cause ocular surface irritation including foreign body sensation, tearing, burning or itching. Some may find these lesions cosmetically unacceptable. Biopsy with histopathologic confirmation is not usually necessary but may be indicated for atypical cases where the diagnosis remains questionable.
It is thought that both pteryigia and pingueculae arise more commonly on the nasal side because light passing medially through the cornea focuses on the area of the nasal limbus while the shadow of the nose reduces the intensity of light transmitted to the area of the temporal limbus.
Etiology. Pingueculae are thought to arise as a result of the effects of environmental irritants such as wind and dust and are associated with UV-light exposure and aging, however the evidence of the association between UV-light exposure and pingueculae remains limited [3].
A relatively common non-malignant, raised yellow-white lesion of the interpalpebral bulbar conjunctiva that does not involve the cornea and represents elastoic degeneration of subepithelial collagen with hyalinized connective tissue. These fleshy lesions are typically found bilaterally and adjacent to the limbus of the nasal bulbar conjunctiva although they can be present temporally as well.
The diagnosis is usually made clinically by slit-lamp biomicroscopy. The classic growth is raised and yellow-white in color, found in the interpalpebral fissure and is more common nasally than temporally. The lesion may be highly vascularized and injected or associated with punctuate epithelial erosions or dellen (thinning of adjacent cornea due to drying).
Lubrication with artificial tears and ointment can help with ocular surface irritation. Excision is indicated only when pingueculae are cosmetically unacceptable or when they become chronically inflamed or interfere with successful contact lens wear. Long-term use of topical steroid therapy should be discouraged due to adverse side-effects but can but used judiciously in patients with inflamed pingeuculae termed “pingueculitis”. Topical indomethicin has also been demonstrated at reducing symptoms of inflammation.
Pingculae may grow slowly over time but are associated with minimal ocular morbidity. One study showed that nasal corneal epithelial damage in inflamed pinguecula patients may be a stimulus for exaggerated wound repair causing the release of growth factors leading to growth of conjunctival epithelium onto the cornea.
One study showed that nasal corneal epithelial damage in inflamed pinguecula patients may be a stimulus for exaggerated wound repair causing the release of growth factors leading to growth of conjunctival epithelium onto the cornea. Inflamed pinguecula patients with impaired ocular surface lubrication and nasal corneal epithelial defects may be a subgroup of pinguecula patients who have a propensity to progress to pterygium.
A yellowish thickened lesion on the conjunctiva near the cornea representing a benign degenerative change in the conjunctiva caused by the leakage and deposition of certain blood proteins through the permeable capillaries near the limbus.
The 2022 edition of ICD-10-CM H11.15 became effective on October 1, 2021.
As of October 2015, ICD-9 codes are no longer used for medical coding. Instead, use this equivalent ICD-10-CM code, which is an approximate match to ICD-9 code 372.51:
Billable codes are sufficient justification for admission to an acute care hospital when used a principal diagnosis.