ICD-10-CM Code Q13.5

Blue sclera

Version 2021 Billable Code POA Exempt

Valid for Submission

Q13.5 is a billable code used to specify a medical diagnosis of blue sclera. The code is valid for the fiscal year 2021 for the submission of HIPAA-covered transactions. The ICD-10-CM code Q13.5 might also be used to specify conditions or terms like abnormal blue sclerae, abnormal blue sclerae, abnormal blue sclerae, congenital anomaly of sclera, congenital anomaly of sclera, congenital anomaly of sclera, etc The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

ICD-10:Q13.5
Short Description:Blue sclera
Long Description:Blue sclera

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 Q13.5 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:

  • Abnormal blue sclerae
  • Abnormal blue sclerae
  • Abnormal blue sclerae
  • Congenital anomaly of sclera
  • Congenital anomaly of sclera
  • Congenital anomaly of sclera
  • Congenital anomaly of sclera
  • Dentinogenesis imperfecta
  • Hydrocephalus, blue sclera, nephropathy syndrome
  • Osteogenesis imperfecta type I
  • Osteogenesis imperfecta type I
  • Osteogenesis imperfecta with blue sclerae AND dentinogenesis imperfecta
  • Osteogenesis imperfecta with blue sclerae AND normal teeth

Diagnostic Related Groups

The ICD-10 code Q13.5 is grouped in the following groups for version MS-DRG V38.0 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 10/01/2020 through 09/30/2021.

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

Present on Admission (POA)

Q13.5 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 Q13.5 to ICD-9

  • 743.47 - Anomalies of sclera (Approximate Flag)

Code Classification

  • Congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
    • Congenital malformations of eye, ear, face and neck (Q10-Q18)
      • Congenital malformations of anterior segment of eye (Q13)

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
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021

Information for Patients


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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  • Eye and orbit ultrasound (Medical Encyclopedia)
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  • Eye pain (Medical Encyclopedia)
  • Eye redness (Medical Encyclopedia)
  • Fluorescein angiography (Medical Encyclopedia)
  • Fluorescein eye stain (Medical Encyclopedia)
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  • Ophthalmoscopy (Medical Encyclopedia)
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  • Photophobia (Medical Encyclopedia)
  • Pinguecula (Medical Encyclopedia)
  • Pterygium (Medical Encyclopedia)
  • Pupil - white spots (Medical Encyclopedia)
  • Scleritis (Medical Encyclopedia)
  • Slit-lamp exam (Medical Encyclopedia)
  • Standard ophthalmic exam (Medical Encyclopedia)
  • Subconjunctival hemorrhage (Medical Encyclopedia)
  • Uveitis (Medical Encyclopedia)

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