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ICD-10-CM Code Q11.0
Cystic eyeball

BILLABLE
Billable Code
Billable codes are sufficient justification for admission to an acute care hospital when used a principal diagnosis.
POA Exempt
POA Exempt Code
The Center for Medicare & Medicaid Services (CMS) requires medical coders to indicate whether or not a condition was present at the time of admission, in order to properly assign MS-DRG codes. This "Present On Admission" (POA) indicator is recorded on CMS form 4010A.
| ICD-10 from 2011 - 2016

Q11.0 is a billable ICD code used to specify a diagnosis of cystic eyeball. A 'billable code' is detailed enough to be used to specify a medical diagnosis.

POA Indicators on CMS form 4010A are as follows:

IndicatorMeaningCMS Will Pay CC/MCC DRG Costs
YDiagnosis was present at time of inpatient admissionYes
NDiagnosis was not present at time of inpatient admissionNo
UDocumentation insufficient to determine if the condition was present at the time of inpatient admission.No
WClinically undetermined. Provider unable to clinically determine whether the condition was present at the time of inpatient admission.Yes
1Exempt from POA reportingNo


The ICD code Q110 is used to code Anophthalmia

Anophthalmia, (Greek: ανόφθαλμος, "without eye"), is the medical term for the absence of one or both eyes. Both the globe (human eye) and the ocular tissue are missing from the orbit. The absence of the eye will cause a small bony orbit, a constricted mucosal socket, short eyelids, reduced palpebral fissure and malar prominence. Genetic mutations, chromosomal abnormalities, and prenatal environment can all cause anophthalmia. Anophthalmia is an extremely rare disease and is mostly rooted in genetic abnormalities. It can also be associated with other syndromes.

Specialty: Medical Genetics
ICD 9 Code: 743.0

Right-sided anophthalmia (MR image)

Source: Wikipedia

MS-DRG Mapping

  • DRG Group #124-125 - Other disorders of the eye with MCC.
  • DRG Group #124-125 - Other disorders of the eye without MCC.

ICD-10-CM Alphabetical Index References for 'Q11.0 - Cystic eyeball'

The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code Q11.0. Click on any term below to browse the alphabetical index.

Equivalent ICD-9 Code GENERAL EQUIVALENCE MAPPINGS (GEM)

Cystic eyeball, congenital (exact match)

This is the official exact match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that in all cases where the ICD9 code 743.03 was previously used, Q11.0 is the appropriate modern ICD10 code.


Parent Code: Q11 - Anophthalmos, microphthalmos and macrophthalmos

** This Document Provided By ICD.Codes **
Source: http://icd.codes/icd10cm/Q110