Q10.0

Q10.0: Congenital ptosis

Billable / specific codeICD-10-CMPOA exempt

Q10.0 is a billable, specific ICD-10-CM code for congenital ptosis. It is valid for submission on a claim.

Check Q10.0 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above Q10.0

A category’s note binds every code beneath it.

Written on Q10: Congenital malformations of eyelid, lacrimal apparatus and orbit

cryptophthalmos NOS (Q11.2)
cryptophthalmos syndrome (Q87.0)

Other codes that can never be billed with Q10.0

Their own Excludes1 notes name this code, so the conflict is not listed above.

H02Other disorders of eyelid

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

Q10.0 is named in 11 Medicare coverage policies: 11 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A54111Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
A56439Billing and Coding: Blepharoplasty
A56503Billing and Coding: Blepharoplasty, Eyelid Surgery, and Brow Lift
A56551Billing and Coding: Visual Fields Testing

Alphabetic index entries that lead here

Blepharochalasis›congenital
Blepharoptosis›congenital
Ptosis›congenital(eyelid)
Anomaly, anomalous›eye›ptosis(eyelid)
Anomaly, anomalous›eyelid›ptosis
Ptosis›eyelid›congenital

Code history

Unchanged in every release from FY2024 to FY2027.