Q13.1

Q13.1: Absence of iris

Billable / specific codeICD-10-CMPOA exempt

Q13.1 is a billable, specific ICD-10-CM code for absence of iris. It is valid for submission on a claim.

Check Q13.1 with the rest of the claim: free scrubber

Use additional code

Add a secondary code to capture the detail described below.

code for associated glaucoma (H42)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Aniridia

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

Q13.1 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
A56453Billing and Coding: Cataract Extraction
A56544Billing and Coding: Cataract Extraction
A56615Billing and Coding: Cataract Extraction (including Complex Cataract Surgery)

Alphabetic index entries that lead here

Aniridia(congenital)
Irideremia
Absence›iris, congenital
Agenesis›iris(dilator fibers)
Aplasia›iris
Glaucoma›in›aniridia

Code history

Unchanged in every release from FY2024 to FY2027.