Q11.3
Q11.3: Macrophthalmos
Billable / specific codeICD-10-CMPOA exempt
Q11.3 is a billable, specific ICD-10-CM code for macrophthalmos. It is valid for submission on a claim.
Check Q11.3 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- macrophthalmos in congenital glaucoma (Q15.0)
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
Q11.3 is named in 2 Medicare coverage policies: 2 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
Alphabetic index entries that lead here
- Macrophthalmos
- Megalophthalmos
Code history
Unchanged in every release from FY2024 to FY2027.