Valid for Submission
Q12.0 is a billable code used to specify a medical diagnosis of congenital cataract. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code Q12.0 might also be used to specify conditions or terms like absence deformity of leg and congenital cataract syndrome, anal atresia, anterior subcapsular polar cataract, bilateral congenital cataract of eyes, bilateral congenital cataract of eyes, cataract and microcornea syndrome, etc The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.
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 Q12.0 are found in the index:
- - Blue
- - dot cataract - Q12.0
- - Cataract (cortical) (immature) (incipient) - H26.9
- - anterior
- - and posterior axial embryonal - Q12.0
- - pyramidal - Q12.0
- - blue - Q12.0
- - central - Q12.0
- - cerulean - Q12.0
- - congenital - Q12.0
- - coraliform - Q12.0
- - coronary - Q12.0
- - crystalline - Q12.0
- - nuclear
- - embryonal - Q12.0
- - zonular (perinuclear) - Q12.0
- - anterior
- - Cataracta - See Also: Cataract;
- - centralis pulverulenta - Q12.0
- - cerulea - Q12.0
- - congenita - Q12.0
- - coralliformis - Q12.0
- - coronaria - Q12.0
- - membranacea
- - congenita - Q12.0
Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Absence deformity of leg and congenital cataract syndrome
- Anal atresia
- Anterior subcapsular polar cataract
- Bilateral congenital cataract of eyes
- Bilateral congenital cataract of eyes
- Cataract and microcornea syndrome
- Cataract glaucoma syndrome
- Cataract, congenital heart disease, neural tube defect syndrome
- Congenital anterior polar cataract
- Congenital anterior polar cataract
- Congenital anterior subcapsular polar cataract
- Congenital blue dot cataract
- Congenital capsular cataract
- Congenital cataract
- Congenital cataract ichthyosis syndrome
- Congenital cataract of left eye
- Congenital cataract of left eye
- Congenital cataract of right eye
- Congenital cataract of right eye
- Congenital cataract with ataxia and deafness syndrome
- Congenital cataract with deafness and hypogonadism syndrome
- Congenital cataract with hypertrichosis and intellectual disability syndrome
- Congenital cataract, hearing loss, severe developmental delay syndrome
- Congenital cataract, hypertrophic cardiomyopathy, mitochondrial myopathy syndrome
- Congenital cataract, progressive muscular hypotonia, hearing loss, developmental delay syndrome
- Congenital cataracts, facial dysmorphism and neuropathy
- Congenital combined form cataract
- Congenital cortical cataract
- Congenital hypertrichosis
- Congenital kyphosis
- Congenital lamellar cataract
- Congenital membranous cataract
- Congenital polar cataract
- Congenital polar cataract
- Congenital porencephaly
- Congenital posterior polar cataract
- Congenital posterior subcapsular polar cataract
- Congenital subcapsular cataract
- Congenital sutural cataract
- Congenital total cataract
- Congenital zonular cataract
- Cortical and zonular cataract
- Cortical cataract
- Crome syndrome
- Dandy-Walker syndrome
- Disorder of endocardium and heart valve
- EDICT syndrome
- Embryonal nuclear cataract
- Endocardial fibroelastosis
- Hydrocephalus with endocardial fibroelastosis and cataract syndrome
- Hypergonadotropic hypogonadism with cataract syndrome
- Hypertrophic mitochondrial cardiomyopathy
- Hypomyelination and congenital cataract
- Intellectual disability with cataract and kyphosis syndrome
- Intellectual disability, cataract, calcified pinna, myopathy syndrome
- Irido-corneal dysgenesis
- Karandikar Maria Kamble syndrome
- Martsolf syndrome
- Mature cataract
- Microcornea
- Nathalie syndrome
- Nuclear cataract
- Osteogenesis imperfecta, perinatal lethal
- Osteogenesis imperfecta, recessive perinatal lethal, with microcephaly AND cataracts
- Pinnal calcification
- Porencephaly, microcephaly, bilateral congenital cataract syndrome
- Punctate cataract
- Spinal muscular atrophy, Dandy-Walker malformation, cataract syndrome
- Spondyloepiphyseal dysplasia, craniosynostosis, cleft palate, cataract and intellectual disability syndrome
- Wellesley Carman French syndrome
Diagnostic Related Groups
The ICD-10 code Q12.0 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.
Present on Admission (POA)
Q12.0 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 Code | POA Reason for Code | CMS will pay the CC/MCC DRG? |
|---|---|---|
| Y | Diagnosis was present at time of inpatient admission. | YES |
| N | Diagnosis was not present at time of inpatient admission. | NO |
| U | Documentation insufficient to determine if the condition was present at the time of inpatient admission. | NO |
| W | Clinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission. | YES |
| 1 | Unreported/Not used - Exempt from POA reporting. | NO |
Convert Q12.0 to ICD-9
- 743.30 - Congenital cataract NOS (Approximate Flag)
Code Classification
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