Q10.3
Q10.3: Other congenital malformations of eyelid
Billable / specific codeICD-10-CMPOA exempt
Q10.3 is a billable, specific ICD-10-CM code for other congenital malformations of eyelid. It is valid for submission on a claim.
Check Q10.3 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- 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
Other codes that can never be billed with Q10.3
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
Q10.3 is named in 8 Medicare coverage policies: 8 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
- A56908Billing and Coding: Blepharoplasty, Blepharoptosis and Brow Lift
Alphabetic index entries that lead here
- Ablepharia, ablepharon
- Epiblepharon(congenital)
- Epicanthus, epicanthic fold(eyelid) (congenital)
- Narrowness, abnormal, eyelid
- Absence›cilia(congenital)
- Absence›eyelid(fold) (congenital)
- Accessory›eye muscle
- Accessory›eyelid
- Agenesis›cilia
- Agenesis›eyelid(fold)
- Ankyloblepharon›filiforme(adnatum) (congenital)
- Ankyloblepharon›total
Code history
Unchanged in every release from FY2024 to FY2027.