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ICD-10-CM Code Q11.2
Microphthalmos

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

Q11.2 is a billable ICD code used to specify a diagnosis of microphthalmos. 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 Q112 is used to code Microphthalmia

Microphthalmia (Greek: μικρός micros = small; ὀφθαλμός ophthalmos = eye), also referred as microphthalmos, is a developmental disorder of the eye in which one (unilateral microphthalmia) or both (bilateral microphthalmia) eyes are abnormally small and have anatomic malformations. Different from nanophthalmos in which the eye is small in size but has no anatomical alterations.

Specialty: Medical Genetics
ICD 9 Code: 743.1

Unilateral Microphthalmia

Source: Wikipedia

Coding Notes for Q11.2 Info for medical coders on how to properly use this ICD-10 code

Inclusion Terms:
Inclusion Terms
Inclusion Terms are a list of concepts for which a specific code is used. The list of Inclusion Terms is useful for determining the correct code in some cases, but the list is not necessarily exhaustive.
Cryptophthalmos NOS
Dysplasia of eye
Hypoplasia of eye
Rudimentary eye
Code Type-1 Excludes:
Type-1 Excludes
Type-1 Excludes mean the conditions excluded are mutually exclusive and should never be coded together. Excludes 1 means "do not code here."
Cryptophthalmos syndrome - instead, use code Q87.0

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 'Q11.2 - Microphthalmos'

The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code Q11.2. Click on any term below to browse the alphabetical index.

Microphthalmos, microphthalmia(congenital) (Q11.2)
Cryptophthalmos (Q11.2)

Equivalent ICD-9 Codes GENERAL EQUIVALENCE MAPPINGS (GEM)

Cryptophthalmos (approximate match)
Microphthalmos, unspecified (approximate match)

This is the official approximate match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that while there is no exact mapping between this ICD10 code Q11.2 and a single ICD9 code, 743.10 is an approximate match for comparison and conversion purposes.


Parent Code: Q11 - Anophthalmos, microphthalmos and macrophthalmos

** This Document Provided By ICD.Codes **
Source: http://icd.codes/icd10cm/Q112