2027 ICD-10-CM Diagnosis Code Q14.1Congenital malformation of retina

ICD-10-CM Codes›Q00-Q99›Q10-Q18›Q14

ICD-10-CM Q14.1
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

Q14.1 is a billable ICD-10-CM diagnosis code for congenital malformation of retina. 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
Q14.1
Billable Status
Yes — Valid for Submission
Code Describes
Congenital malformation of retina
Short Description
Congenital malformation of retina
Same as the full description in the CMS dataset.
Parent Code
Q14
Congenital malformations of posterior segment of eye

Code Classification

ChapterQ00-Q99Congenital malformations, deformations and chromosomal abnormalities
SectionQ10-Q18Congenital malformations of eye, ear, face and neck
CategoryQ14Congenital malformations of posterior segment of eye
This CodeQ14.1Congenital malformation of retina

Present on Admission (POA)Billing

Q14.1 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.

  • Albinotic fundus
  • Angiomatosis of retina
  • Arthrogryposis with oculomotor limitation and electroretinal anomaly
  • Axial myopia
  • Bilateral choroid degeneration
  • Bilateral coloboma of macula
  • Bilateral congenital anomaly of retinas
  • Bilateral congenital hypertrophy of retinal pigment epithelium
  • Brachydactyly syndrome type B
  • Chorioretinal atrophy
  • Coloboma of choroid
  • Coloboma of choroid and retina
  • Coloboma of macula with brachydactyly type B syndrome
  • Coloboma of retina
  • Congenital anomaly of left retina
  • Congenital anomaly of macula
  • Congenital anomaly of retina
  • Congenital anomaly of right retina
  • Congenital chorioretinal degeneration
  • Congenital chorioretinal degeneration of bilateral eyes
  • Congenital chorioretinal degeneration of left eye
  • Congenital chorioretinal degeneration of right eye
  • Congenital coloboma of macula lutea
  • Congenital hallux valgus
  • Congenital hypertrophy of retinal pigment epithelium
  • Congenital hypertrophy of retinal pigment epithelium of left eye
  • Congenital hypertrophy of retinal pigment epithelium of right eye
  • Congenital hypoplasia of fovea centralis
  • Congenital hypoplasia of macula lutea
  • Congenital hypoplasia of retina
  • Congenital nystagmus
  • Congenital peripapillary staphyloma
  • Congenital retinal aneurysm
  • Congenital retinal dysplasia caused by teratogenic substance
  • Congenital retinal fold
  • Congenital retinoschisis
  • Congenital stenosis of pulmonary artery
  • Congenital supravalvular pulmonary stenosis
  • Congenital vascular anomaly of eye
  • Diffuse retinal dysplasia
  • Foveal hypoplasia with presenile cataract syndrome
  • Foveal hypoplasia, optic nerve decussation defect, anterior segment dysgenesis syndrome
  • Geographic retinal dysplasia
  • Isolated foveal hypoplasia
  • 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
  • Myelinated nerve fiber layer of retina
  • Nephronophthisis
  • Oliver McFarlane syndrome
  • Peripheral retinoschisis
  • Presenile cataract
  • Pulmonary trunk stenosis
  • Renal dysplasia and retinal aplasia
  • Retinal arterial macroaneurysm with supravalvular pulmonic stenosis
  • Retinal arteriovenous malformation
  • Retinal arteriovenous shunt
  • Retinal dysplasia
  • Retinal hemangioblastomatosis
  • Retinal macroaneurysm
  • Retinal pigment deposits
  • Retinal pigment epithelial hypertrophy
  • Retinal pigmentation grouped
  • Solitary congenital hypertrophy of retinal pigment epithelium
  • Straatsma syndrome
  • Structural abnormality of fovea centralis
  • Structural abnormality of nerve fiber layer of retina
  • Supravalvar pulmonary trunk stenosis
  • Vitreoretinal dysplasia

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to Q14.1: its own notes plus those printed at Q14, block Q10-Q18, and Chapter 17. A note printed at a category, block or chapter applies to every code under it.

Applicable To

Conditions this code is used for: synonyms of the title or, for "other specified" codes, the conditions assigned to it. The list is not exhaustive.

  • Congenital retinal aneurysm

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 Q14 Congenital malformations of posterior segment of eye applies to 6 codes
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 Q14.1, its category, or a range that includes it.

Excludes1 1

These codes carry an Excludes1 note naming Q14.1: they are not reported together with it, unless the two conditions are unrelated.

  • H33.1 Retinoschisis and retinal cysts
    congenital retinoschisis (Q14.1)

Excludes2 2

These codes carry an Excludes2 note naming Q14.1: its condition is not part of those codes, and both may be reported when the patient has both.

  • Q27 Other congenital malformations of peripheral vascular system
    congenital retinal aneurysm (Q14.1)
  • Q28 Other congenital malformations of circulatory system
    congenital retinal aneurysm (Q14.1)

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

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.

The full article covers:

  • What are birth defects?
  • What causes birth defects?
  • Who is at risk of having a baby with birth defects?
  • How are birth defects diagnosed?
  • What are the treatments for birth defects?
  • Can birth defects be prevented?

Read the full article at MedlinePlus

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

Convert Q14.1 to ICD-9-CMHistory

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

ICD-9-CM
743.56 Cong retinal changes NEC
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 Q14.1Overview

What is the ICD-10 code for congenital malformation of retina?

The ICD-10-CM code for congenital malformation of retina is Q14.1 (sometimes written as Q141). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is Q14.1 (Congenital malformations of posterior segment of eye) a billable code?

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

What MS-DRG does Q14.1 group to?

When congenital malformation of retina 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 Q14.1 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 congenital malformation of retina 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 Q14.1?

Under the General Equivalence Mappings, congenital malformation of retina converts to ICD-9-CM 743.56 (cong retinal changes NEC). The mapping is approximate, so confirm the match fits the documentation.