2027 ICD-10-CM Diagnosis Code Q13.5Blue sclera

ICD-10-CM Codes›Q00-Q99›Q10-Q18›Q13

ICD-10-CM Q13.5
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

Q13.5 is a billable ICD-10-CM diagnosis code for blue sclera. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 124 through 125. The code is exempt from POA reporting. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Congenital malformations of eye, ear, face, neck.

Code Identity

ICD-10-CM Code
Q13.5
Billable Status
Yes — Valid for Submission
Code Describes
Blue sclera
Short Description
Blue sclera
Same as the full description in the CMS dataset.
Parent Code
Q13
Congenital malformations of anterior segment of eye

Code Classification

ChapterQ00-Q99Congenital malformations, deformations and chromosomal abnormalities
SectionQ10-Q18Congenital malformations of eye, ear, face and neck
CategoryQ13Congenital malformations of anterior segment of eye
This CodeQ13.5Blue sclera

Present on Admission (POA)Billing

Q13.5 is exempt from POA reporting on inpatient claims to general acute care hospitals. Review the other POA exempt codes in Congenital malformations of eye, ear, face and neck (Q10-Q18).

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

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

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to Q13.5: its own notes plus those printed at block Q10-Q18 and Chapter 17. A note printed at a category, block or chapter applies to every code under it.

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From Block Q10-Q18 Congenital malformations of eye, ear, face and neck applies to 62 codes
  • cleft lip and cleft palate (Q35-Q37)
  • congenital malformation of cervical spine (Q05.0, Q05.5, Q67.5, Q76.0-Q76.4)
  • congenital malformation of larynx (Q31.-)
  • congenital malformation of lip NEC (Q38.0)
  • congenital malformation of nose (Q30.-)
  • congenital malformation of parathyroid gland (Q89.2)
  • congenital malformation of thyroid gland (Q89.2)
From Chapter 17 (Q00-QA1) Congenital malformations, deformations and chromosomal abnormalities applies to 900 codes
  • inborn errors of metabolism (E70-E88)

Notes

General instructions on how these codes are used.

From Chapter 17 (Q00-QA1) Congenital malformations, deformations and chromosomal abnormalities applies to 900 codes
  • Codes from this chapter are not for use on maternal records

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name Q13.5, its category, or a range that includes it.

Excludes2 1

These codes carry an Excludes2 note naming Q13.5: its condition is not part of those codes, and both may be reported when the patient has both.

  • H15.8 Other disorders of sclera
    blue sclera (Q13.5)

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR MAL005
Congenital malformations of eye, ear, face, neck
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

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Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert Q13.5 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
743.47 Anomalies of sclera
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About Q13.5Overview

What is the ICD-10 code for blue sclera?

The ICD-10-CM code for blue sclera is Q13.5 (sometimes written as Q135). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is Q13.5 (Congenital malformations of anterior segment of eye) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report blue sclera on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does Q13.5 group to?

When blue sclera is the principal diagnosis on an inpatient stay, it groups to MS-DRG 125, 124, with relative weights from 0.7699 to 1.2470 depending on complications. Higher weights mean higher Medicare reimbursement.

Is Q13.5 exempt from POA reporting?

Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for blue sclera on inpatient claims. The code appears in the Congenital malformations of eye, ear, face and neck (Q10-Q18) range of the CMS exempt list.

What is the ICD-9 equivalent of Q13.5?

Under the General Equivalence Mappings, blue sclera converts to ICD-9-CM 743.47 (anomalies of sclera). The mapping is approximate, so confirm the match fits the documentation.