MCMedicalCodingSoftware
Q13.3

Q13.3: Congenital corneal opacity

Billable / specific codeICD-10-CMPOA exempt

Q13.3 is a billable, specific ICD-10-CM code for congenital corneal opacity. It is valid for submission on a claim.

Check Q13.3 with the rest of the claim: free scrubber

Other codes that can never be billed with Q13.3

Their own Excludes1 notes name this code, so the conflict is not listed above.

  • H18.7Other and unspecified corneal deformities

Risk adjustment

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

Medicare coverage

Q13.3 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
  • A57483Billing and Coding: Visual Fields

Alphabetic index entries that lead here

  • Opacity, opacities›cornea›congenital

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under Q13

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.