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Current RMA Instruments:
|Reasonable Hypothesis SOP||116 of 2015|
|Balance of Probabilities SOP||117 of 2015|
Changes from previous instruments:
- ICD-9-CM Codes: 372.4
- ICD-10-AM Codes: H11.0
A pterygium is a benign growth on the conjunctiva of the eye, usually on the nasal side.
Confirming the diagnosis
The diagnosis is made on clinical grounds, based on the typical appearance and location of the lesion.
The relevant medical specialist is an ophthalmologist.
Additional diagnoses covered by the SOPs
Conditions not covered by these SOPs
- Pseudopterygium#, ICD code 372.52
Clinical onset will generally correspond with date of diagnosis. Backdating may be possible if there have been continuous chronic symptoms prior to diagnosis such as the sensation of a foreign body in the eye, tearing, dryness and itchiness of the eye.
The SOP has only an inability to obtain appropriate clinical management factor for worsening. The condition may progress over time and interfere with vision. Surgical treatment may be effective, although the condition may recur.