ICD-10-CM Code Q14.1

Congenital malformation of retina

Version 2020 Billable Code POA Exempt

Valid for Submission

Q14.1 is a billable code used to specify a medical diagnosis of congenital malformation of retina. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code Q14.1 might also be used to specify conditions or terms like albinotic fundus, angiomatosis of retina, arthrogryposis with oculomotor limitation and electroretinal anomaly, brachydactyly syndrome type b, cirsoid aneurysm, coloboma of choroid, etc The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

ICD-10:Q14.1
Short Description:Congenital malformation of retina
Long Description:Congenital malformation of retina

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 Q14.1:

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.
  • Congenital retinal aneurysm

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 Q14.1 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:

  • Albinotic fundus
  • Angiomatosis of retina
  • Arthrogryposis with oculomotor limitation and electroretinal anomaly
  • Brachydactyly syndrome type B
  • Cirsoid aneurysm
  • Coloboma of choroid
  • Coloboma of choroid and retina
  • Coloboma of macula with brachydactyly type B syndrome
  • Coloboma of retina
  • Coloboma of retina
  • Congenital anomaly of choroid
  • Congenital anomaly of macula
  • Congenital anomaly of retina
  • Congenital coloboma of macula lutea
  • Congenital hallux valgus
  • Congenital hypertrophy of retinal pigment epithelium
  • Congenital hypoplasia of fovea centralis
  • Congenital macular changes
  • Congenital malformation of vitreous humor
  • Congenital nystagmus
  • Congenital retinal aneurysm
  • Congenital retinal fold
  • Congenital retinoschisis
  • Congenital stenosis of pulmonary artery
  • Congenital supravalvular pulmonary stenosis
  • Congenital vascular anomaly of eye
  • Congenital vascular anomaly of eye
  • Congenital vascular anomaly of eye
  • Congenital vascular anomaly of eye
  • Diffuse retinal dysplasia
  • Foveal hypoplasia with presenile cataract syndrome
  • Geographic retinal dysplasia
  • Hallux valgus
  • Juvenile retinoschisis
  • Macular and peripheral retinoschisis
  • Macular coloboma, cleft palate, hallux valgus syndrome
  • Macular retinoschisis
  • Microcornea
  • Microcornea with corectopia and macular hypoplasia syndrome
  • Multifocal retinal dysplasia
  • O/E - retinal pigmentation
  • Oliver McFarlane syndrome
  • Posterior segment vascular anomalies
  • Presenile cataract
  • Pulmonary trunk stenosis
  • Renal dysplasia and retinal aplasia
  • Retinal arterial macroaneurysm with supravalvular pulmonic stenosis
  • Retinal arteriovenous malformation
  • Retinal arteriovenous malformation
  • Retinal arteriovenous shunt
  • Retinal cirsoid aneurysm
  • Retinal dysplasia
  • Retinal dysplasia
  • Retinal hemangioblastomatosis
  • Retinal macroaneurysm
  • Retinal pigment deposits
  • Retinal pigment deposits
  • Retinal pigment epithelial hypertrophy
  • Retinal pigmentation grouped
  • Supravalvar pulmonary trunk stenosis
  • Vitreoretinal dysplasia
  • X-linked retinal dysplasia

Diagnostic Related Groups

The ICD-10 code Q14.1 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)

Q14.1 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 Q14.1 to ICD-9

  • 743.56 - Cong retinal changes NEC (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 posterior segment of eye (Q14)

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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Retinal Disorders

The retina is a layer of tissue in the back of your eye that senses light and sends images to your brain. In the center of this nerve tissue is the macula. It provides the sharp, central vision needed for reading, driving and seeing fine detail.

Retinal disorders affect this vital tissue. They can affect your vision, and some can be serious enough to cause blindness. Examples are

  • Macular degeneration - a disease that destroys your sharp, central vision
  • Diabetic eye disease
  • Retinal detachment - a medical emergency, when the retina is pulled away from the back of the eye
  • Retinoblastoma - cancer of the retina. It is most common in young children.
  • Macular pucker - scar tissue on the macula
  • Macular hole - a small break in the macula that usually happens to people over 60
  • Floaters - cobwebs or specks in your field of vision

NIH: National Eye Institute


[Learn More]