Q10-Q18
Congenital malformations of eye, ear, face and neck
Block coding notes
Excludes 1 never together · Excludes 2 may co-exist
Excludes 2
cleft lip and cleft palate (Q35-Q37) congenital malformation of cervical spine (Q05.0, Q05.5, Q67.5, Q76.0-Q76.4) congenital malformation of larynx (Q31.-) congenital malformation of lip NEC (Q38.0) congenital malformation of nose (Q30.-) congenital malformation of parathyroid gland (Q89.2) congenital malformation of thyroid gland (Q89.2)
Codes in this block
72 codes
Billableusable codeNon-billableheader / grouping codeRisk-adjusting
- Q10Congenital malformations of eyelid, lacrimal apparatus and orbitNon-billable
- Q10.0Congenital ptosisBillable
- Q10.1Congenital ectropionBillable
- Q10.2Congenital entropionBillable
- Q10.3Other congenital malformations of eyelidBillable
- Q10.4Absence and agenesis of lacrimal apparatusBillable
- Q10.5Congenital stenosis and stricture of lacrimal ductBillable
- Q10.6Other congenital malformations of lacrimal apparatusBillable
- Q10.7Congenital malformation of orbitBillable
- Q11Anophthalmos, microphthalmos and macrophthalmosNon-billable
- Q11.0Cystic eyeballBillable
- Q11.1Other anophthalmosBillable
- Q11.2MicrophthalmosBillable
- Q11.3MacrophthalmosBillable
- Q12Congenital lens malformationsNon-billable
- Q12.0Congenital cataractBillable
- Q12.1Congenital displaced lensBillable
- Q12.2Coloboma of lensBillable
- Q12.3Congenital aphakiaBillable
- Q12.4SpherophakiaBillable
- Q12.8Other congenital lens malformationsBillable
- Q12.9Congenital lens malformation, unspecifiedBillable
- Q13Congenital malformations of anterior segment of eyeNon-billable
- Q13.0Coloboma of irisBillable
- Q13.1Absence of irisBillable
- Q13.2Other congenital malformations of irisBillable
- Q13.3Congenital corneal opacityBillable
- Q13.4Other congenital corneal malformationsBillable
- Q13.5Blue scleraBillable
- Q13.8Other congenital malformations of anterior segment of eyeNon-billable
- Q13.81Rieger anomalyBillable
- Q13.89Other congenital malformations of anterior segment of eyeBillable
- Q13.9Congenital malformation of anterior segment of eye, unspecifiedBillable
- Q14Congenital malformations of posterior segment of eyeNon-billable
- Q14.0Congenital malformation of vitreous humorBillable
- Q14.1Congenital malformation of retinaBillable
- Q14.2Congenital malformation of optic discBillable
- Q14.3Congenital malformation of choroidBillable
- Q14.8Other congenital malformations of posterior segment of eyeBillable
- Q14.9Congenital malformation of posterior segment of eye, unspecifiedBillable
- Q15Other congenital malformations of eyeNon-billable
- Q15.0Congenital glaucomaBillable
- Q15.8Other specified congenital malformations of eyeBillable
- Q15.9Congenital malformation of eye, unspecifiedBillable
- Q16Congenital malformations of ear causing impairment of hearingNon-billable
- Q16.0Congenital absence of (ear) auricleBillable
- Q16.1Congenital absence, atresia and stricture of auditory canal (external)Billable
- Q16.2Absence of eustachian tubeBillable
- Q16.3Congenital malformation of ear ossiclesBillable
- Q16.4Other congenital malformations of middle earBillable
- Q16.5Congenital malformation of inner earBillable
- Q16.9Congenital malformation of ear causing impairment of hearing, unspecifiedBillable
- Q17Other congenital malformations of earNon-billable
- Q17.0Accessory auricleBillable
- Q17.1MacrotiaBillable
- Q17.2MicrotiaBillable
- Q17.3Other misshapen earBillable
- Q17.4Misplaced earBillable
- Q17.5Prominent earBillable
- Q17.8Other specified congenital malformations of earBillable
- Q17.9Congenital malformation of ear, unspecifiedBillable
- Q18Other congenital malformations of face and neckNon-billable
- Q18.0Sinus, fistula and cyst of branchial cleftBillable
- Q18.1Preauricular sinus and cystBillable
- Q18.2Other branchial cleft malformationsBillable
- Q18.3Webbing of neckBillable
- Q18.4MacrostomiaBillable
- Q18.5MicrostomiaBillable
- Q18.6MacrocheiliaBillable
- Q18.7MicrocheiliaBillable
- Q18.8Other specified congenital malformations of face and neckBillable
- Q18.9Congenital malformation of face and neck, unspecifiedBillable
Official Guidelines for Q10-Q18
FY 2026 ›Sections that reference codes in Q10-Q18