ICD-10-CM Code Q11.2

Microphthalmos

Version 2020 Billable Code POA Exempt

Valid for Submission

Q11.2 is a billable code used to specify a medical diagnosis of microphthalmos. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code Q11.2 might also be used to specify conditions or terms like ankyloblepharon, aplasia of optic nerve, arrhinia with choanal atresia and microphthalmia syndrome, central obesity, choanal atresia, colobomatous microphthalmia, etc The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

ICD-10:Q11.2
Short Description:Microphthalmos
Long Description:Microphthalmos

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code Q11.2:

Inclusion Terms

Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • Cryptophthalmos NOS
  • Dysplasia of eye
  • Hypoplasia of eye
  • Rudimentary eye

Type 1 Excludes

Type 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • cryptophthalmos syndrome Q87.0

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code Q11.2 are found in the index:


Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Ankyloblepharon
  • Aplasia of optic nerve
  • Arrhinia with choanal atresia and microphthalmia syndrome
  • Central obesity
  • Choanal atresia
  • Colobomatous microphthalmia
  • Colobomatous microphthalmia
  • Colobomatous microphthalmia
  • Colobomatous microphthalmia, obesity, hypogenitalism, intellectual disability syndrome
  • Colobomatous microphthalmia, rhizomelic dysplasia syndrome
  • Congenital ankyloblepharon
  • Congenital atresia of nares
  • Congenital atresia of nasopharynx
  • Congenital atresia of pharynx
  • Congenital hypoplasia of nose
  • Congenital prognathism
  • Cryptophthalmos
  • Drusen of optic disc
  • Dysplasia of eye
  • Frontonasal dysplasia sequence
  • Frontonasal dysplasia, severe microphthalmia, severe facial clefting syndrome
  • Hypoplasia of eye
  • Hypoplasia of eye
  • Hyposmia, nasal and ocular hypoplasia, hypogonadotropic hypogonadism syndrome
  • Isolated cryptophthalmos
  • Lenz microphthalmia syndrome
  • Macrosomia, microphthalmia, cleft palate syndrome
  • Microphthalmia with ankyloblepharon and intellectual disability syndrome
  • Microphthalmia with brain and digit anomaly
  • Microphthalmia with brain atrophy syndrome
  • Microphthalmia with linear skin defect syndrome
  • Microphthalmia, retinitis pigmentosa, foveoschisis, optic disc drusen syndrome
  • Microphthalmic socket
  • Microphthalmos
  • Microphthalmos associated with other anomalies of eye AND/OR adnexa
  • MMEP syndrome
  • Nanophthalmia
  • Nanophthalmia
  • Oculocerebral dysplasia syndrome
  • Retinal degeneration, nanophthalmos, glaucoma syndrome
  • Simple microphthalmos
  • Syndromic microphthalmia type 5
  • X-linked colobomatous microphthalmia, microcephaly, intellectual disability, short stature syndrome

Clinical Information

  • MICROPHTHALMOS-. congenital or developmental anomaly in which the eyeballs are abnormally small.

Diagnostic Related Groups

The ICD-10 code Q11.2 is grouped in the following groups for version MS-DRG V37.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC).
applicable from 10/01/2019 through 09/30/2020.

  • 124 - OTHER DISORDERS OF THE EYE WITH MCC
  • 125 - OTHER DISORDERS OF THE EYE WITHOUT MCC

Present on Admission (POA)

Q11.2 is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here .

CMS POA Indicator Options and Definitions
POA Indicator CodePOA Reason for CodeCMS will pay the CC/MCC DRG?
YDiagnosis was present at time of inpatient admission.YES
NDiagnosis was not present at time of inpatient admission.NO
UDocumentation insufficient to determine if the condition was present at the time of inpatient admission.NO
WClinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.YES
1Unreported/Not used - Exempt from POA reporting. NO

Convert Q11.2 to ICD-9

  • 743.06 - Cryptophthalmos (Approximate Flag)
  • 743.10 - Microphthalmos NOS (Approximate Flag)

Code Classification

  • Congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
    • Congenital malformations of eye, ear, face and neck (Q10-Q18)
      • Anophthalmos, microphthalmos and macrophthalmos (Q11)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients


Birth Defects

A birth defect is a problem that happens while a baby is developing in the mother's body. Most birth defects happen during the first 3 months of pregnancy. One out of every 33 babies in the United States is born with a birth defect.

A birth defect may affect how the body looks, works or both. Some birth defects like cleft lip or neural tube defects are structural problems that can be easy to see. To find others, like heart defects, doctors use special tests. Birth defects can range from mild to severe. Causes can include

  • Genetics
  • Exposures to medicines or chemicals. For example, alcohol abuse can cause fetal alcohol syndrome.
  • Infections during pregnancy
  • Certain medicines. Before you get pregnant, talk to your health care provider about any medicines you take.
  • Not getting enough of certain nutrients. For example, not getting enough folic acid before and during pregnancy is a key factor in causing neural tube defects.

For most birth defects, the cause is unknown.

Health care providers can diagnose certain birth defects during pregnancy, with prenatal tests. That's why it important to get regular prenatal care. Other birth defects may not be found until after the baby is born. Sometimes the defect is obvious right away. Other times, the health care provider may not discover it until later in life.

Babies with birth defects often need special care and treatments. The treatments may include surgery, medicines, assistive devices, and therapies.

Centers for Disease Control and Prevention


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Eye Diseases

Some eye problems are minor and don't last long. But some can lead to a permanent loss of vision.

Common eye problems include

  • Refractive errors
  • Cataracts - clouded lenses
  • Optic nerve disorders, including glaucoma
  • Retinal disorders - problems with the nerve layer at the back of the eye
  • Macular degeneration - a disease that destroys sharp, central vision
  • Diabetic eye problems
  • Conjunctivitis - an infection also known as pinkeye

Your best defense is to have regular checkups, because eye diseases do not always have symptoms. Early detection and treatment could prevent vision loss. See an eye care professional right away if you have a sudden change in vision, if everything looks dim, or if you see flashes of light. Other symptoms that need quick attention are pain, double vision, fluid coming from the eye, and inflammation.

NIH: National Eye Institute


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Microphthalmia Microphthalmia is an eye abnormality that arises before birth. In this condition, one or both eyeballs are abnormally small. In some affected individuals, the eyeball may appear to be completely missing; however, even in these cases some remaining eye tissue is generally present. Such severe microphthalmia should be distinguished from another condition called anophthalmia, in which no eyeball forms at all. However, the terms anophthalmia and severe microphthalmia are often used interchangeably. Microphthalmia may or may not result in significant vision loss.People with microphthalmia may also have a condition called coloboma. Colobomas are missing pieces of tissue in structures that form the eye. They may appear as notches or gaps in the colored part of the eye called the iris; the retina, which is the specialized light-sensitive tissue that lines the back of the eye; the blood vessel layer under the retina called the choroid; or in the optic nerves, which carry information from the eyes to the brain. Colobomas may be present in one or both eyes and, depending on their size and location, can affect a person's vision.People with microphthalmia may also have other eye abnormalities, including clouding of the lens of the eye (cataract) and a narrowed opening of the eye (narrowed palpebral fissure). Additionally, affected individuals may have an abnormality called microcornea, in which the clear front covering of the eye (cornea) is small and abnormally curved.Between one-third and one-half of affected individuals have microphthalmia as part of a syndrome that affects other organs and tissues in the body. These forms of the condition are described as syndromic. When microphthalmia occurs by itself, it is described as nonsyndromic or isolated.
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