Q12.8
Q12.8: Other congenital lens malformations
Billable / specific codeICD-10-CMPOA exempt
Q12.8 is a billable, specific ICD-10-CM code for other congenital lens malformations. It is valid for submission on a claim.
Check Q12.8 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Microphakia
Other codes that can never be billed with Q12.8
Their own Excludes1 notes name this code, so the conflict is not listed above.
- H27Other disorders of lens
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
Q12.8 is named in 11 Medicare coverage policies: 11 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A54111Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
- A56453Billing and Coding: Cataract Extraction
- A56544Billing and Coding: Cataract Extraction
- A56549Billing and Coding: Ophthalmic Biometry for Intraocular Lens Power Calculation
Alphabetic index entries that lead here
- Lenticonus(anterior) (posterior) (congenital)
- Lentiglobus(posterior) (congenital)
- Microlentia(congenital)
- Microphakia(congenital)
- Distortion›lens
- Hypoplasia, hypoplastic›zonule(ciliary)
- Persistence, persistent›capsule(opaque)
- Cyst›lens›congenital
Code history
Unchanged in every release from FY2024 to FY2027.