Coding and coverage · ICD-10-CM

Q10

Q10.5 Congenital stenosis and stricture of lacrimal duct

BillableNo payment HCCChapter 17

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)

Q10

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.