2020 ICD-10-CM Diagnosis Code Q11.1

Other anophthalmos

    2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
  • Q11.1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2020 edition of ICD-10-CM Q11.1 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of Q11.1 - other international versions of ICD-10 Q11.1 may differ.
Applicable To
  • Anophthalmos NOS
  • Agenesis of eye
  • Aplasia of eye
The following code(s) above Q11.1 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to Q11.1:
  • Q00-Q99
    2020 ICD-10-CM Range Q00-Q99

    Congenital malformations, deformations and chromosomal abnormalities

    Note
    • Codes from this chapter are not for use on maternal records
    Type 2 Excludes
    • inborn errors of metabolism (E70-E88)
    Congenital malformations, deformations and chromosomal abnormalities
  • Q10-Q18
    2020 ICD-10-CM Range Q10-Q18

    Congenital malformations of eye, ear, face and neck

    Type 2 Excludes
    • 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)
    Congenital malformations of eye, ear, face and neck
Approximate Synonyms
  • Anophthalmos
  • Bilateral anophthalmos
  • Left anophthalmos
  • Right anophthalmos
Clinical Information
  • A rare congenital abnormality characterized by the complete absence of ocular tissue in the orbit.
  • Congenital absence of the eye or eyes.
Present On Admission
POA Help
"Present On Admission" is defined as present at the time the order for inpatient admission occurs — conditions that develop during an outpatient encounter, including emergency department, observation, or outpatient surgery, are considered POA.
  • Q11.1 is considered exempt from POA reporting.
ICD-10-CM Q11.1 is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):
  • 124 Other disorders of the eye with mcc
  • 125 Other disorders of the eye without mcc

Convert Q11.1 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change

Diagnosis Index entries containing back-references to Q11.1:
  • Absence (of) (organ or part) (complete or partial)
    • eye (acquired) Z90.01
      ICD-10-CM Diagnosis Code Z90.01

      Acquired absence of eye

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      • congenital Q11.1
    • globe (acquired) Z90.01
      ICD-10-CM Diagnosis Code Z90.01

      Acquired absence of eye

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      • congenital Q11.1
  • Agenesis
  • Anophthalmos, anophthalmus (congenital) (globe) Q11.1
  • Aplasia - see also Agenesis
    • eye Q11.1

ICD-10-CM Codes Adjacent To Q11.1
Q10.0 Congenital ptosis
Q10.1 Congenital ectropion
Q10.2 Congenital entropion
Q10.3 Other congenital malformations of eyelid
Q10.4 Absence and agenesis of lacrimal apparatus
Q10.5 Congenital stenosis and stricture of lacrimal duct
Q10.6 Other congenital malformations of lacrimal apparatus
Q10.7 Congenital malformation of orbit
Q11 Anophthalmos, microphthalmos and macrophthalmos
Q11.0 Cystic eyeball
Q11.1 Other anophthalmos
Q11.2 Microphthalmos
Q11.3 Macrophthalmos
Q12 Congenital lens malformations
Q12.0 Congenital cataract
Q12.1 Congenital displaced lens
Q12.2 Coloboma of lens
Q12.3 Congenital aphakia
Q12.4 Spherophakia
Q12.8 Other congenital lens malformations
Q12.9 Congenital lens malformation, unspecified

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.