2024 ICD-10-CM Diagnosis Code Q13.5

Blue sclera

ICD-10-CM Code:
Q13.5
ICD-10 Code for:
Blue sclera
Is Billable?
Yes - Valid for Submission
Chronic Condition Indicator: [1]
Chronic
Code Navigator:

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)

Q13.5 is a billable diagnosis code used to specify a medical diagnosis of blue sclera. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

Approximate 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
  • Bilateral congenital anomaly of sclera
  • Blue sclera of bilateral eyes
  • Congenital anomaly of left sclera
  • Congenital anomaly of right sclera
  • Congenital anomaly of sclera
  • 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

Clinical Classification

Clinical Information

  • Dentinogenesis Imperfecta

    an autosomal dominant disorder of tooth development characterized by opalescent dentin resulting in discoloration of the teeth. the dentin develops poorly with low mineral content while the pulp canal is obliterated.
  • Dentinogenesis Imperfecta

    a congenital tooth development disorder caused by mutations in the dspp gene. the teeth are weak, discolored, and translucent.
  • COL1A2 wt Allele|COL1A2|Collagen Type I Alpha 2 Chain wt Allele|Collagen, Type I, Alpha 2 Gene|OI4|Osteogenesis Imperfecta Type IV Gene

    human col1a2 wild-type allele is located in the vicinity of 7q22.1 and is approximately 37 kb in length. this allele, which encodes collagen alpha-2 (i) chain protein, plays a role in the structural integrity of tendons, ligaments and bones. mutations in the gene are associated with atypical marfan syndrome, ehlers-danlos syndrome types and osteogenesis imperfecta types.
  • Osteogenesis Imperfecta Type I

    the mildest and most common type of osteogenesis imperfecta. it is characterized by bone fractures, muscle weakness, and loose joints. bone deformities are either absent or minimal.
  • Osteogenesis Imperfecta Type II

    a severe form of osteogenesis imperfecta. it is characterized by bone deformities, multiple fractures, underdeveloped lungs, and often death during or after birth due to respiratory abnormalities.
  • Osteogenesis Imperfecta Type III

    a type of osteogenesis imperfecta characterized by bone fractures, bone deformities, short stature, poor muscle development, barrel-shaped chest, and triangular face.
  • Osteogenesis Imperfecta Type IV

    a type of osteogenesis imperfecta that is characterized by fractures and hearing loss. it is more severe than type i and less severe than types ii and iii.

Index to Diseases and Injuries References

The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).

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 IndicatorReason 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-CM

  • ICD-9-CM Code: 743.47 - Anomalies of sclera
    Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.

Patient Education


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 pink eye

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


[Learn More in MedlinePlus]

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.

Footnotes

[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:

  • The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
  • The condition places limitations on self-care, independent living, and social interactions.