Q12.0
Q12.0: Congenital cataract
Billable / specific codeICD-10-CMPOA exempt
Q12.0 is a billable, specific ICD-10-CM code for congenital cataract. It is valid for submission on a claim.
Check Q12.0 with the rest of the claim: free scrubberOther codes that can never be billed with Q12.0
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
Q12.0 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
- A56544Billing and Coding: Cataract Extraction
- A56549Billing and Coding: Ophthalmic Biometry for Intraocular Lens Power Calculation
- A56613Billing and Coding: Cataract Surgery
Alphabetic index entries that lead here
- Blue›dot cataract
- Cataract›blue
- Cataract›central
- Cataract›cerulean
- Cataract›congenital
- Cataract›coraliform
- Cataract›coronary
- Cataract›crystalline
- Cataract›zonular(perinuclear)
- Cataracta›centralis pulverulenta
- Cataracta›cerulea
- Cataracta›congenita
Code history
Unchanged in every release from FY2024 to FY2027.