Present On Admission Exempt ICD-10-CM Codes

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. The following 37,658 ICD-10-CM codes are considered exempt from POA reporting.

Displaying codes 401-500 of 37,658:

  • P00.81
    Newborn affected by periodontal disease in mother
  • P00.82
    Newborn affected by (positive) maternal group B streptococcus (GBS) colonization
  • P00.89
    Newborn affected by other maternal conditions
  • P00.9
    Newborn affected by unspecified maternal condition
  • P29.30
    Pulmonary hypertension of newborn
  • P29.38
    Other persistent fetal circulation
  • P78.84
    Gestational alloimmune liver disease
  • P83.81
    Umbilical granuloma
  • P83.88
    Other specified conditions of integument specific to newborn
  • P91.811
    Neonatal encephalopathy in diseases classified elsewhere
  • P91.819
    Neonatal encephalopathy, unspecified
  • P91.821
    Neonatal cerebral infarction, right side of brain
  • P91.822
    Neonatal cerebral infarction, left side of brain
  • P91.823
    Neonatal cerebral infarction, bilateral
  • P91.829
    Neonatal cerebral infarction, unspecified side
  • P91.88
    Other specified disturbances of cerebral status of newborn
  • Q00.0
    Anencephaly
  • Q00.1
    Craniorachischisis
  • Q00.2
    Iniencephaly
  • Q01.0
    Frontal encephalocele
  • Q01.1
    Nasofrontal encephalocele
  • Q01.2
    Occipital encephalocele
  • Q01.8
    Encephalocele of other sites
  • Q01.9
    Encephalocele, unspecified
  • Q02
    Microcephaly
  • Q03.0
    Malformations of aqueduct of Sylvius
  • Q03.1
    Atresia of foramina of Magendie and Luschka
  • Q03.8
    Other congenital hydrocephalus
  • Q03.9
    Congenital hydrocephalus, unspecified
  • Q04.0
    Congenital malformations of corpus callosum
  • Q04.1
    Arhinencephaly
  • Q04.2
    Holoprosencephaly
  • Q04.3
    Other reduction deformities of brain
  • Q04.4
    Septo-optic dysplasia of brain
  • Q04.5
    Megalencephaly
  • Q04.6
    Congenital cerebral cysts
  • Q04.8
    Other specified congenital malformations of brain
  • Q04.9
    Congenital malformation of brain, unspecified
  • Q05.0
    Cervical spina bifida with hydrocephalus
  • Q05.1
    Thoracic spina bifida with hydrocephalus
  • Q05.2
    Lumbar spina bifida with hydrocephalus
  • Q05.3
    Sacral spina bifida with hydrocephalus
  • Q05.4
    Unspecified spina bifida with hydrocephalus
  • Q05.5
    Cervical spina bifida without hydrocephalus
  • Q05.6
    Thoracic spina bifida without hydrocephalus
  • Q05.7
    Lumbar spina bifida without hydrocephalus
  • Q05.8
    Sacral spina bifida without hydrocephalus
  • Q05.9
    Spina bifida, unspecified
  • Q06.0
    Amyelia
  • Q06.1
    Hypoplasia and dysplasia of spinal cord
  • Q06.2
    Diastematomyelia
  • Q06.3
    Other congenital cauda equina malformations
  • Q06.4
    Hydromyelia
  • Q06.8
    Other specified congenital malformations of spinal cord
  • Q06.9
    Congenital malformation of spinal cord, unspecified
  • Q07.00
    Arnold-Chiari syndrome without spina bifida or hydrocephalus
  • Q07.01
    Arnold-Chiari syndrome with spina bifida
  • Q07.02
    Arnold-Chiari syndrome with hydrocephalus
  • Q07.03
    Arnold-Chiari syndrome with spina bifida and hydrocephalus
  • Q07.8
    Other specified congenital malformations of nervous system
  • Q07.9
    Congenital malformation of nervous system, unspecified
  • 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
  • Q11.0
    Cystic eyeball
  • Q11.1
    Other anophthalmos
  • Q11.2
    Microphthalmos
  • Q11.3
    Macrophthalmos
  • 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
  • Q13.0
    Coloboma of iris
  • Q13.1
    Absence of iris
  • Q13.2
    Other congenital malformations of iris
  • Q13.3
    Congenital corneal opacity
  • Q13.4
    Other congenital corneal malformations
  • Q13.5
    Blue sclera
  • Q13.81
    Rieger's anomaly
  • Q13.89
    Other congenital malformations of anterior segment of eye
  • Q13.9
    Congenital malformation of anterior segment of eye, unspecified
  • Q14.0
    Congenital malformation of vitreous humor
  • Q14.1
    Congenital malformation of retina
  • Q14.2
    Congenital malformation of optic disc
  • Q14.3
    Congenital malformation of choroid
  • Q14.8
    Other congenital malformations of posterior segment of eye
  • Q14.9
    Congenital malformation of posterior segment of eye, unspecified
  • Q15.0
    Congenital glaucoma
  • Q15.8
    Other specified congenital malformations of eye
  • Q15.9
    Congenital malformation of eye, unspecified
  • Q16.0
    Congenital absence of (ear) auricle
  • Q16.1
    Congenital absence, atresia and stricture of auditory canal (external)
ICD-10-CM Code P00.81

Newborn affected by periodontal disease in mother

    2016 2017 - Revised Code 2018 2019 2020 2021 2022 2023 Billable/Specific Code Code on Newborn Record POA Exempt
ICD-10-CM Code P00.82

Newborn affected by (positive) maternal group B streptococcus (GBS) colonization

    2022 - New Code 2023 Billable/Specific Code Code on Newborn Record POA Exempt
Applicable To
  • Contact with positive maternal group B streptococcus
ICD-10-CM Code P00.89

Newborn affected by other maternal conditions

    2016 2017 - Revised Code 2018 2019 2020 2021 2022 2023 Billable/Specific Code Code on Newborn Record POA Exempt
Applicable To
  • Newborn affected by conditions classifiable to T80-T88
  • Newborn affected by maternal genital tract or other localized infections
  • Newborn affected by maternal systemic lupus erythematosus
Use Additional
  • code to identify infectious agent, if known
  • Excludes 2: newborn affected by positive maternal group B streptococcus (GBS) colonization (P00.82)
ICD-10-CM Code P00.9

Newborn affected by unspecified maternal condition

    2016 2017 - Revised Code 2018 2019 2020 2021 2022 2023 Billable/Specific Code Code on Newborn Record POA Exempt
ICD-10-CM Code P29.30

Pulmonary hypertension of newborn

    2018 - New Code 2019 2020 2021 2022 2023 Billable/Specific Code Code on Newborn Record POA Exempt
Applicable To
  • Persistent pulmonary hypertension of newborn
ICD-10-CM Code P29.38

Other persistent fetal circulation

    2018 - New Code 2019 2020 2021 2022 2023 Billable/Specific Code Code on Newborn Record POA Exempt
Applicable To
  • Delayed closure of ductus arteriosus
ICD-10-CM Code P78.84

Gestational alloimmune liver disease

    2018 - New Code 2019 2020 2021 2022 2023 Billable/Specific Code Code on Newborn Record POA Exempt
Applicable To
  • GALD
  • Neonatal hemochromatosis
Type 1 Excludes
ICD-10-CM Code P83.81

Umbilical granuloma

    2018 - New Code 2019 2020 2021 2022 2023 Billable/Specific Code Code on Newborn Record POA Exempt
Type 2 Excludes
  • Granulomatous disorder of the skin and subcutaneous tissue, unspecified (L92.9)
ICD-10-CM Code P83.88

Other specified conditions of integument specific to newborn

    2018 - New Code 2019 2020 2021 2022 2023 Billable/Specific Code Code on Newborn Record POA Exempt
Applicable To
  • Bronze baby syndrome
  • Neonatal scleroderma
  • Urticaria neonatorum
ICD-10-CM Code P91.811

Neonatal encephalopathy in diseases classified elsewhere

    2018 - New Code 2019 2020 2021 2022 2023 Billable/Specific Code Code on Newborn Record POA Exempt Manifestation Code
Code First
  • underlying condition, if known, such as:
  • congenital cirrhosis (of liver) (P78.81)
  • intracranial nontraumatic hemorrhage of newborn (P52.-)
  • kernicterus (P57.-)
ICD-10-CM Code P91.819

Neonatal encephalopathy, unspecified

    2018 - New Code 2019 2020 2021 2022 2023 Billable/Specific Code Code on Newborn Record POA Exempt
ICD-10-CM Code P91.821

Neonatal cerebral infarction, right side of brain

    2021 - New Code 2022 2023 Billable/Specific Code Code on Newborn Record POA Exempt
ICD-10-CM Code P91.822

Neonatal cerebral infarction, left side of brain

    2021 - New Code 2022 2023 Billable/Specific Code Code on Newborn Record POA Exempt
ICD-10-CM Code P91.823

Neonatal cerebral infarction, bilateral

    2021 - New Code 2022 2023 Billable/Specific Code Code on Newborn Record POA Exempt
ICD-10-CM Code P91.829

Neonatal cerebral infarction, unspecified side

    2021 - New Code 2022 2023 Billable/Specific Code Code on Newborn Record POA Exempt
ICD-10-CM Code P91.88

Other specified disturbances of cerebral status of newborn

    2018 - New Code 2019 2020 2021 2022 2023 Billable/Specific Code Code on Newborn Record POA Exempt
ICD-10-CM Code Q00.0

Anencephaly

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
Applicable To
  • Acephaly
  • Acrania
  • Amyelencephaly
  • Hemianencephaly
  • Hemicephaly
ICD-10-CM Code Q00.1

Craniorachischisis

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
ICD-10-CM Code Q00.2

Iniencephaly

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
ICD-10-CM Code Q01.0

Frontal encephalocele

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
ICD-10-CM Code Q01.1

Nasofrontal encephalocele

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
ICD-10-CM Code Q01.2

Occipital encephalocele

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
ICD-10-CM Code Q01.8

Encephalocele of other sites

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
ICD-10-CM Code Q01.9

Encephalocele, unspecified

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
ICD-10-CM Code Q02

Microcephaly

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
Code First
  • , if applicable, congenital Zika virus disease
Includes
  • hydromicrocephaly
  • micrencephalon
Type 1 Excludes
  • Meckel-Gruber syndrome (Q61.9)
ICD-10-CM Code Q03.0

Malformations of aqueduct of Sylvius

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
Applicable To
  • Anomaly of aqueduct of Sylvius
  • Obstruction of aqueduct of Sylvius, congenital
  • Stenosis of aqueduct of Sylvius
ICD-10-CM Code Q03.1

Atresia of foramina of Magendie and Luschka

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
Applicable To
  • Dandy-Walker syndrome
ICD-10-CM Code Q03.8

Other congenital hydrocephalus

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
ICD-10-CM Code Q03.9

Congenital hydrocephalus, unspecified

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
ICD-10-CM Code Q04.0

Congenital malformations of corpus callosum

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
Applicable To
  • Agenesis of corpus callosum
ICD-10-CM Code Q04.1

Arhinencephaly

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
ICD-10-CM Code Q04.2

Holoprosencephaly

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
ICD-10-CM Code Q04.3

Other reduction deformities of brain

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
Applicable To
  • Absence of part of brain
  • Agenesis of part of brain
  • Agyria
  • Aplasia of part of brain
  • Hydranencephaly
  • Hypoplasia of part of brain
  • Lissencephaly
  • Microgyria
  • Pachygyria
Type 1 Excludes
  • congenital malformations of corpus callosum (Q04.0)
ICD-10-CM Code Q04.4

Septo-optic dysplasia of brain

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
ICD-10-CM Code Q04.5

Megalencephaly

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
ICD-10-CM Code Q04.6

Congenital cerebral cysts

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
Applicable To
  • Porencephaly
  • Schizencephaly
Type 1 Excludes
  • acquired porencephalic cyst (G93.0)
ICD-10-CM Code Q04.8

Other specified congenital malformations of brain

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
Applicable To
  • Arnold-Chiari syndrome, type IV
  • Macrogyria
ICD-10-CM Code Q04.9

Congenital malformation of brain, unspecified

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
Applicable To
  • Congenital anomaly NOS of brain
  • Congenital deformity NOS of brain
  • Congenital disease or lesion NOS of brain
  • Multiple anomalies NOS of brain, congenital
ICD-10-CM Code Q05.0

Cervical spina bifida with hydrocephalus

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
ICD-10-CM Code Q05.1

Thoracic spina bifida with hydrocephalus

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
Applicable To
  • Dorsal spina bifida with hydrocephalus
  • Thoracolumbar spina bifida with hydrocephalus
ICD-10-CM Code Q05.2

Lumbar spina bifida with hydrocephalus

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
Applicable To
  • Lumbosacral spina bifida with hydrocephalus
ICD-10-CM Code Q05.3

Sacral spina bifida with hydrocephalus

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
ICD-10-CM Code Q05.4

Unspecified spina bifida with hydrocephalus

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
ICD-10-CM Code Q05.5

Cervical spina bifida without hydrocephalus

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
ICD-10-CM Code Q05.6

Thoracic spina bifida without hydrocephalus

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
Applicable To
  • Dorsal spina bifida NOS
  • Thoracolumbar spina bifida NOS
ICD-10-CM Code Q05.7

Lumbar spina bifida without hydrocephalus

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
Applicable To
  • Lumbosacral spina bifida NOS
ICD-10-CM Code Q05.8

Sacral spina bifida without hydrocephalus

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
ICD-10-CM Code Q05.9

Spina bifida, unspecified

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
ICD-10-CM Code Q06.0

Amyelia

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
ICD-10-CM Code Q06.1

Hypoplasia and dysplasia of spinal cord

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
Applicable To
  • Atelomyelia
  • Myelatelia
  • Myelodysplasia of spinal cord
ICD-10-CM Code Q06.2

Diastematomyelia

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
ICD-10-CM Code Q06.3

Other congenital cauda equina malformations

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
ICD-10-CM Code Q06.4

Hydromyelia

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
Applicable To
  • Hydrorachis
ICD-10-CM Code Q06.8

Other specified congenital malformations of spinal cord

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
ICD-10-CM Code Q06.9

Congenital malformation of spinal cord, unspecified

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
Applicable To
  • Congenital anomaly NOS of spinal cord
  • Congenital deformity NOS of spinal cord
  • Congenital disease or lesion NOS of spinal cord
ICD-10-CM Code Q07.00

Arnold-Chiari syndrome without spina bifida or hydrocephalus

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
ICD-10-CM Code Q07.01

Arnold-Chiari syndrome with spina bifida

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
ICD-10-CM Code Q07.02

Arnold-Chiari syndrome with hydrocephalus

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
ICD-10-CM Code Q07.03

Arnold-Chiari syndrome with spina bifida and hydrocephalus

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
ICD-10-CM Code Q07.8

Other specified congenital malformations of nervous system

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
Applicable To
  • Agenesis of nerve
  • Displacement of brachial plexus
  • Jaw-winking syndrome
  • Marcus Gunn's syndrome
ICD-10-CM Code Q07.9

Congenital malformation of nervous system, unspecified

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
Applicable To
  • Congenital anomaly NOS of nervous system
  • Congenital deformity NOS of nervous system
  • Congenital disease or lesion NOS of nervous system
ICD-10-CM Code Q10.0

Congenital ptosis

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
ICD-10-CM Code Q10.1

Congenital ectropion

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
ICD-10-CM Code Q10.2

Congenital entropion

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
ICD-10-CM Code Q10.3

Other congenital malformations of eyelid

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
Applicable To
  • Ablepharon
  • Blepharophimosis, congenital
  • Coloboma of eyelid
  • Congenital absence or agenesis of cilia
  • Congenital absence or agenesis of eyelid
  • Congenital accessory eyelid
  • Congenital accessory eye muscle
  • Congenital malformation of eyelid NOS
ICD-10-CM Code Q10.4

Absence and agenesis of lacrimal apparatus

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
Applicable To
  • Congenital absence of punctum lacrimale
ICD-10-CM Code Q10.5

Congenital stenosis and stricture of lacrimal duct

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
ICD-10-CM Code Q10.6

Other congenital malformations of lacrimal apparatus

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
Applicable To
  • Congenital malformation of lacrimal apparatus NOS
ICD-10-CM Code Q10.7

Congenital malformation of orbit

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
ICD-10-CM Code Q11.0

Cystic eyeball

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
ICD-10-CM Code Q11.1

Other anophthalmos

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
Applicable To
  • Anophthalmos NOS
  • Agenesis of eye
  • Aplasia of eye
ICD-10-CM Code Q11.2

Microphthalmos

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
Applicable To
  • Cryptophthalmos NOS
  • Dysplasia of eye
  • Hypoplasia of eye
  • Rudimentary eye
Type 1 Excludes
  • cryptophthalmos syndrome (Q87.0)
ICD-10-CM Code Q11.3

Macrophthalmos

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
Type 1 Excludes
  • macrophthalmos in congenital glaucoma (Q15.0)
ICD-10-CM Code Q12.0

Congenital cataract

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
ICD-10-CM Code Q12.1

Congenital displaced lens

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
ICD-10-CM Code Q12.2

Coloboma of lens

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
ICD-10-CM Code Q12.3

Congenital aphakia

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
ICD-10-CM Code Q12.4

Spherophakia

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
ICD-10-CM Code Q12.8

Other congenital lens malformations

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
Applicable To
  • Microphakia
ICD-10-CM Code Q12.9

Congenital lens malformation, unspecified

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
ICD-10-CM Code Q13.0

Coloboma of iris

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
Applicable To
  • Coloboma NOS
ICD-10-CM Code Q13.1

Absence of iris

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
Applicable To
  • Aniridia
Use Additional
  • code for associated glaucoma (H42)
ICD-10-CM Code Q13.2

Other congenital malformations of iris

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
Applicable To
  • Anisocoria, congenital
  • Atresia of pupil
  • Congenital malformation of iris NOS
  • Corectopia
ICD-10-CM Code Q13.3

Congenital corneal opacity

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
ICD-10-CM Code Q13.4

Other congenital corneal malformations

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
Applicable To
  • Congenital malformation of cornea NOS
  • Microcornea
  • Peter's anomaly
ICD-10-CM Code Q13.5

Blue sclera

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
ICD-10-CM Code Q13.81

Rieger's anomaly

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
Use Additional
  • code for associated glaucoma (H42)
ICD-10-CM Code Q13.89

Other congenital malformations of anterior segment of eye

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
ICD-10-CM Code Q13.9

Congenital malformation of anterior segment of eye, unspecified

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
ICD-10-CM Code Q14.0

Congenital malformation of vitreous humor

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
Applicable To
  • Congenital vitreous opacity
ICD-10-CM Code Q14.1

Congenital malformation of retina

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
Applicable To
  • Congenital retinal aneurysm
ICD-10-CM Code Q14.2

Congenital malformation of optic disc

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
Applicable To
  • Coloboma of optic disc
ICD-10-CM Code Q14.3

Congenital malformation of choroid

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
ICD-10-CM Code Q14.8

Other congenital malformations of posterior segment of eye

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
Applicable To
  • Coloboma of the fundus
ICD-10-CM Code Q14.9

Congenital malformation of posterior segment of eye, unspecified

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
ICD-10-CM Code Q15.0

Congenital glaucoma

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
Applicable To
  • Axenfeld's anomaly
  • Buphthalmos
  • Glaucoma of childhood
  • Glaucoma of newborn
  • Hydrophthalmos
  • Keratoglobus, congenital, with glaucoma
  • Macrocornea with glaucoma
  • Macrophthalmos in congenital glaucoma
  • Megalocornea with glaucoma
ICD-10-CM Code Q15.8

Other specified congenital malformations of eye

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
ICD-10-CM Code Q15.9

Congenital malformation of eye, unspecified

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
Applicable To
  • Congenital anomaly of eye
  • Congenital deformity of eye
ICD-10-CM Code Q16.0

Congenital absence of (ear) auricle

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
ICD-10-CM Code Q16.1

Congenital absence, atresia and stricture of auditory canal (external)

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
Applicable To
  • Congenital atresia or stricture of osseous meatus