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ICD-10-CM Code Q12.0
Congenital cataract

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

Q12.0 is a billable ICD code used to specify a diagnosis of congenital cataract. 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 Q120 is used to code Cataract

A cataract is a clouding of the lens in the eye leading to a decrease in vision. It can affect one or both eyes. Often it develops slowly. Symptoms may include faded colors, blurry vision, halos around light, trouble with bright lights, and trouble seeing at night. This may result in trouble driving, reading, or recognizing faces. Poor vision may also result in an increased risk of falling and depression. Cataracts are the cause of half of blindness and 33% of visual impairment worldwide.

Specialty: Ophthalmology
MeSH Code: D002386
ICD 9 Code: 366

Magnified view of a cataract seen on examination with a slit lamp

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.

Related Concepts SNOMET-CT

  • Congenital anterior subcapsular polar cataract (disorder)
  • Rubella cataract (disorder)
  • Congenital posterior subcapsular polar cataract (disorder)
  • Congenital subcapsular cataract (disorder)

ICD-10-CM Alphabetical Index References for 'Q12.0 - Congenital cataract'

The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code Q12.0. Click on any term below to browse the alphabetical index.

Equivalent ICD-9 Code GENERAL EQUIVALENCE MAPPINGS (GEM)

Congenital cataract, 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 Q12.0 and a single ICD9 code, 743.30 is an approximate match for comparison and conversion purposes.


Parent Code: Q12 - Congenital lens malformations

** This Document Provided By ICD.Codes **
Source: http://icd.codes/icd10cm/Q120