Q11.1
Q11.1: Other anophthalmos
Billable / specific codeICD-10-CMPOA exempt
Q11.1 is a billable, specific ICD-10-CM code for other anophthalmos. It is valid for submission on a claim.
Check Q11.1 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Anophthalmos NOS
- Agenesis of eye
- Aplasia of eye
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
Q11.1 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
- A56439Billing and Coding: Blepharoplasty
- A56908Billing and Coding: Blepharoplasty, Blepharoptosis and Brow Lift
- A57204Billing and Coding: MRI and CT Scans of the Head and Neck
Alphabetic index entries that lead here
- Anophthalmos, anophthalmus(congenital) (globe)
- Agenesis›eye
- Aplasia›eye
- Absence›eye›congenital
- Absence›globe›congenital
Code history
Unchanged in every release from FY2024 to FY2027.