Q16.3

Q16.3: Congenital malformation of ear ossicles

Billable / specific codeICD-10-CMPOA exempt

Q16.3 is a billable, specific ICD-10-CM code for congenital malformation of ear ossicles. It is valid for submission on a claim.

Check Q16.3 with the rest of the claim: free scrubber

Inclusion terms

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

Congenital fusion of ear ossicles

Excludes1 inherited from the categories above Q16.3

A category’s note binds every code beneath it.

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

congenital deafness (H90.-)

Risk adjustment

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

Medicare coverage

Q16.3 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
A57204Billing and Coding: MRI and CT Scans of the Head and Neck

Alphabetic index entries that lead here

Accessory›auditory ossicles
Agenesis›incus
Distortion›ossicles, ear
Fusion, fused›ear ossicles
Maldevelopment›ossicles
Persistence, persistent›arteria stapedia
Supernumerary›auditory ossicles
Supernumerary›ossicles, auditory
Absence›ear, congenital›ossicles
Absence›incus›congenital
Anomaly, anomalous›ear›ossicles
Anomaly, anomalous›middle ear›ossicles

Code history

Unchanged in every release from FY2024 to FY2027.