Q12.9
Q12.9: Congenital lens malformation, unspecified
Billable / specific codeICD-10-CMPOA exempt
Q12.9 is a billable, specific ICD-10-CM code for congenital lens malformation, unspecified. It is valid for submission on a claim.
Check Q12.9 with the rest of the claim: free scrubberOther codes that can never be billed with Q12.9
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
Q12.9 is named in 5 Medicare coverage policies: 5 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
- A56613Billing and Coding: Cataract Surgery
Alphabetic index entries that lead here
- Anomaly, anomalous›lens
- Deformity›lens›congenital
Code history
Unchanged in every release from FY2024 to FY2027.