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ICD-10-CM Code Q13.2
Other congenital malformations of iris

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

Q13.2 is a billable ICD code used to specify a diagnosis of other congenital malformations of iris. 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 Q132 is used to code Heterochromia iridum

In anatomy, heterochromia (ancient Greek: ἕτερος, héteros, different + χρώμα, chróma, color) is a difference in coloration, usually of the iris but also of hair or skin. Heterochromia is a result of the relative excess or lack of melanin (a pigment). It may be inherited, or caused by genetic mosaicism, chimerism, disease, or injury.

Specialty: Ophthalmology
MeSH Code: C538115
ICD 9 Code: 364.53

Complete heterochromia in human eyes: one brown and one green/hazel

Source: Wikipedia

Coding Notes for Q13.2 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.
Anisocoria, congenital
Atresia of pupil
Congenital malformation of iris NOS
Corectopia

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 anisocoria (disorder)
  • Ectopia lentis et pupillae (disorder)
  • Congenital ectopic pupil (disorder)

ICD-10-CM Alphabetical Index References for 'Q13.2 - Other congenital malformations of iris'

The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code Q13.2. Click on any term below to browse the alphabetical index.

Polycoria (Q13.2)
Notch of iris (Q13.2)
Heterochromia(congenital) (Q13.2)

Equivalent ICD-9 Code GENERAL EQUIVALENCE MAPPINGS (GEM)

Other specified congenital anomalies of iris and ciliary body (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 Q13.2 and a single ICD9 code, 743.46 is an approximate match for comparison and conversion purposes.


Parent Code: Q13 - Congenital malformations of anterior segment of eye

** This Document Provided By ICD.Codes **
Source: http://icd.codes/icd10cm/Q132