Q10.5

Q10.5: Congenital stenosis and stricture of lacrimal duct

Billable / specific codeICD-10-CMPOA exempt

Q10.5 is a billable, specific ICD-10-CM code for congenital stenosis and stricture of lacrimal duct. It is valid for submission on a claim.

Check Q10.5 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above Q10.5

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 Q10.5

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

H04.53Neonatal obstruction of nasolacrimal duct

Risk adjustment

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

Medicare coverage

Q10.5 is named in 4 Medicare coverage policies: 4 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A54111Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
A57204Billing and Coding: MRI and CT Scans of the Head and Neck
A57483Billing and Coding: Visual Fields
A57637Billing and Coding: Visual Field Examination

Alphabetic index entries that lead here

Dacryostenosis›congenital
Closure›lacrimal duct›congenital
Obstruction, obstructed, obstructive›lacrimal›congenital
Obstruction, obstructed, obstructive›nasolacrimal duct›congenital
Stenosis, stenotic›lacrimal›congenital
Stenosis, stenotic›lacrimonasal duct›congenital
Stenosis, stenotic›nasal duct›congenital
Stenosis, stenotic›nasolacrimal duct›congenital
Stricture›lacrimal passages›congenital
Stricture›nasal duct›congenital
Stricture›nasolacrimal duct›congenital
Stricture›punctum lacrimale›congenital

Code history

Unchanged in every release from FY2024 to FY2027.