Q10 Congenital malformations of eyelid, lacrimal apparatus and orbit

Not billable (header)Chapter 17

Report one of the more specific codes below.

Check coverage with this diagnosis

Codes under this one

Q10.0 Congenital ptosis
Q10.1 Congenital ectropion
Q10.2 Congenital entropion
Q10.3 Other congenital malformations of eyelid
Q10.4 Absence and agenesis of lacrimal apparatus
Q10.5 Congenital stenosis and stricture of lacrimal duct
Q10.6 Other congenital malformations of lacrimal apparatus
Q10.7 Congenital malformation of orbit

Instructional notes

Chapter 17

Excludes2Not included here: the patient may have both; report both when both are present.

inborn errors of metabolism (E70-E88)

Notes

Codes from this chapter are not for use on maternal records

Section Q10-Q18

Excludes2Not included here: the patient may have both; report both when both are present.

cleft lip and cleft palate (Q35-Q37)
congenital malformation of cervical spine (Q05.0, Q05.5, Q67.5, Q76.0-Q76.4)
congenital malformation of larynx (Q31.-)
congenital malformation of lip NEC (Q38.0)
congenital malformation of nose (Q30.-)
congenital malformation of parathyroid gland (Q89.2)
congenital malformation of thyroid gland (Q89.2)

This code

Excludes1Not coded here: never report with this code, except when the two conditions are unrelated.

cryptophthalmos NOS (Q11.2)
cryptophthalmos syndrome (Q87.0)

Chapter 17: Congenital malformations, deformations, chromosomal abnormalities, and genetic disorders (Q00-QA1) · Q10-Q18 Congenital malformations of eye, ear, face and neck (Q10-Q18)

Source: ICD-10-CM FY 2027 code descriptions and tabular list (CMS and CDC National Center for Health Statistics), effective 2026-10-01 through 2027-09-30 · CMS ICD-10 files. HCC mapping: CMS-HCC V28, payment year 2027. As of 2026-11-04.

Coverage and payment depend on the claim details; confirm with the Medicare Administrative Contractor.