Q16.4

Other congenital malformations of middle ear

Billable code

This code does not map to a risk-adjusting HCC in the loaded models.

Coding notes

Excludes 1 never coded together · Excludes 2 may co-exist

This code · Q16.4

Synonyms

Congenital malformation of middle ear NOS

Inherited from Q16Congenital malform of ear causing impairment of hearing

Excludes 1

congenital deafness (H90.-)

Inherited from Q10-Q18Congenital malformations of eye, ear, face and neck

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)

Inherited from chapter 17Congenital malformations, deformations and chromosomal abnormalities

Excludes 2

inborn errors of metabolism (E70-E88)

Note

Codes from this chapter are not for use on maternal records

Official Guidelines for Q16.4

FY 2026 ›

I.C.17Chapter-specific guidanceChapter 17: Congenital malformations, deformations, and chromosomal abnormalities (Q00-QA1)

Sections that reference Q16.4

IV.QEncounters for routine health screeningsOutpatient services
… Congenital conditions and anomalies Assign “Y” for congenital conditions and anomalies except for categories Q00- Q99, Congenital anomalies, which are on the exempt list. …

Sections whose FY 2026 text names Q16.4, its Q16 category, or a range containing it — the chapter guidance above is the authoritative source.

Find Q16.4 in the alphabetic index

14 index paths lead to this code