Q16.0

Q16.0: Congenital absence of (ear) auricle

Billable / specific codeICD-10-CMPOA exempt

Q16.0 is a billable, specific ICD-10-CM code for congenital absence of (ear) auricle. It is valid for submission on a claim.

Check Q16.0 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above Q16.0

A category’s note binds every code beneath it.

Written on Q16: Congenital malformations of ear causing impairment of hearing

congenital deafness (H90.-)

Other codes that can never be billed with Q16.0

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

Q17Other congenital malformations of ear

Risk adjustment

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

Medicare coverage

Q16.0 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A54111Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders

Alphabetic index entries that lead here

Absence›auricle, congenital(ear)
Agenesis›auricle(ear)
Absence›ear, congenital›auricle
Absence›ear, congenital›external
Agenesis›ear›auricle
Malformation›ear›external›causing impairment of hearing›absence of›auricle

Code history

Unchanged in every release from FY2024 to FY2027.