Conjunctival adhesions and strands (localized), bilateral

This code describes the presence of abnormal fibrous connections or bands forming between the conjunctiva of both eyes, specifically in a localized area. These adhesions can restrict eye movement or cause discomfort. It represents a sequela of inflammation, trauma, or surgery affecting the conjunctiva.

Apply this code when documentation clearly indicates localized conjunctival adhesions or strands affecting both eyes. This often follows conditions like severe conjunctivitis, chemical burns, or ocular surgery. Supporting documentation should specify the bilateral involvement and the localized nature of the adhesions.

• Ensure documentation specifies "bilateral" involvement; otherwise, use the appropriate unilateral code (H11.211 or H11.212).
• Distinguish from symblepharon (H11.22-), which implies more extensive adhesion between the palpebral and bulbar conjunctiva.
• Code any underlying cause or associated condition, such as a history of trauma or inflammation, if still relevant to the current encounter.