2026 ICD-10-CM Diagnosis Code Q10.0

Congenital ptosis

ICD-10-CM Code:
Q10.0
ICD-10 Code for:
Congenital ptosis
Is Billable?
Yes - Valid for Submission
Chronic Condition Indicator: [1]
Chronic
Code Navigator:

Q10.0 is a billable diagnosis code used to specify a medical diagnosis of congenital ptosis. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2025 through September 30, 2026. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

Code Classification

  • Congenital malformations, deformations and chromosomal abnormalities
    Q00-Q99
    • Congenital malformations of eye, ear, face and neck
      Q10-Q18
      • Congenital malformations of eyelid, lacrimal apparatus and orbit
        Q10

Approximate Synonyms

The following list of clinical terms are approximate synonyms, alternative descriptions, or common phrases that might be used by patients, healthcare providers, or medical coders to describe the same condition. These synonyms and related diagnosis terms are often used when searching for an ICD-10 code, especially when the exact medical terminology is unclear. Whether you're looking for lay terms, similar diagnosis names, or common language alternatives, this list can help guide you to the correct ICD-10 classification.

  • Ablepharon
  • Aniridia, ptosis, intellectual disability, familial obesity syndrome
  • Bilateral congenital ptosis of upper eyelids
  • Bilateral congenital ptosis of upper eyelids
  • Bilateral ptosis of upper eyelids
  • Bilateral ptosis of upper eyelids
  • Blepharophimosis epicanthus inversus ptosis syndrome
  • Blepharophimosis epicanthus inversus ptosis syndrome plus
  • Blepharophimosis, intellectual disability syndrome
  • Blepharophimosis, ptosis, esotropia, syndactyly, short stature syndrome
  • Blepharoptosis, myopia, ectopia lentis syndrome
  • Conductive deafness, ptosis, skeletal anomalies syndrome
  • Congenital absence of lacrimal drainage structure
  • Congenital aniridia
  • Congenital dysgenetic ptosis
  • Congenital ectopic lens
  • Congenital ectopic pupil
  • Congenital myogenic ptosis
  • Congenital ptosis of left upper eyelid
  • Congenital ptosis of left upper eyelid
  • Congenital ptosis of right upper eyelid
  • Congenital ptosis of right upper eyelid
  • Congenital ptosis of upper eyelid
  • Deletion of part of long arm of chromosome 3
  • Dysgenesis of lacrimal punctum
  • Ectopic pupil
  • Epicanthal fold
  • Epicanthal fold
  • Epicanthus inversus
  • Epicanthus inversus
  • Intellectual disability, congenital heart disease, blepharophimosis, blepharoptosis and hypoplastic teeth
  • Lower lacrimal punctum finding
  • Metopic ridging, ptosis, facial dysmorphism syndrome
  • Microbrachycephaly, ptosis, cleft lip syndrome
  • Myogenic ptosis
  • Partial ablepharon
  • Posterior fusion of lumbosacral vertebrae and blepharoptosis syndrome
  • Ptosis and vocal cord paralysis syndrome
  • Ptosis, strabismus, ectopic pupil syndrome
  • Ptosis, upper ocular movement limitation, absence of lacrimal punctum syndrome
  • Vagus nerve laryngeal paralysis

Clinical Classification

Clinical Classifications group individual ICD-10-CM diagnosis codes into broader, clinically meaningful categories. These categories help simplify complex data by organizing related conditions under common clinical themes.

They are especially useful for data analysis, reporting, and clinical decision-making. Even when diagnosis codes differ, similar conditions can be grouped together based on their clinical relevance. Each category is assigned a unique CCSR code that represents a specific clinical concept, often tied to a body system or medical specialty.

Congenital malformations of eye, ear, face, neck

CCSR Code: MAL005

Inpatient Default: Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.

Outpatient Default: Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.

Clinical Information

  • Congenital Ectopic Lens

    displacement of the lens of the eye secondary to defective zonule formation that is present at the time of birth.

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).

Index of External Cause of Injuries

References found for this diagnosis code in the External Cause of Injuries Index:

    • Anomaly, anomalous(congenital) (unspecified type)
      • eye
        • ptosis (eyelid)
    • Anomaly, anomalous(congenital) (unspecified type)
      • eyelid
        • ptosis
    • Blepharochalasis
      • congenital
    • Blepharoptosis
      • congenital
    • Ptosis
      • congenital (eyelid)
    • Ptosis
      • eyelid
        • congenital

Present on Admission (POA)

Q10.0 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: Y

Reason: Diagnosis was present at time of inpatient admission.

CMS Pays CC/MCC DRG? YES

POA Indicator: N

Reason: Diagnosis was not present at time of inpatient admission.

CMS Pays CC/MCC DRG? NO

POA Indicator: U

Reason: Documentation insufficient to determine if the condition was present at the time of inpatient admission.

CMS Pays CC/MCC DRG? NO

POA Indicator: W

Reason: Clinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.

CMS Pays CC/MCC DRG? YES

POA Indicator: 1

Reason: Unreported/Not used - Exempt from POA reporting.

CMS Pays CC/MCC DRG? NO

Convert Q10.0 to ICD-9-CM

Below are the ICD-9 codes that most closely match this ICD-10 code, based on the General Equivalence Mappings (GEMs). This ICD-10 to ICD-9 crosswalk tool is helpful for coders who need to reference legacy diagnosis codes for audits, historical claims, or approximate code comparisons.

Congenital ptosis

ICD-9-CM: 743.61

This is a direct match with no additional mapping qualifiers. The absence of a flag generally means the mapping is considered exact or precise. In other words, the ICD-10 code maps cleanly to the ICD-9 code without qualification, approximation, or needing multiple codes.

Patient Education


Birth Defects

What are 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. Others, like heart disease, are found using special tests. Birth defects can range from mild to severe. How a birth defect affects a child's life depends mostly on which organ or body part is involved and how severe the defect is.

What causes birth defects?

For some birth defects, researchers know the cause. But for many birth defects, the exact cause is unknown. Researchers think that most birth defects are caused by a complex mix of factors, which can include:

  • Genetics. One or more genes might have a change or mutation that prevents them from working properly. For example, this happens in Fragile X syndrome. With some defects, a gene or part of the gene might be missing.
  • Chromosomal problems. In some cases, a chromosome or part of a chromosome might be missing. This is what happens in Turner syndrome. In other cases, such as with Down syndrome, the child has an extra chromosome.
  • Exposures to medicines, chemicals, or other toxic substances. For example, alcohol misuse can cause fetal alcohol spectrum disorders.
  • Infections during pregnancy. For example, infection with Zika virus during pregnancy can cause a serious defect in the brain.
  • Lack of certain nutrients. Not getting enough folic acid before and during pregnancy is a key factor in causing neural tube defects.

Who is at risk of having a baby with birth defects?

Certain factors may increase the chances of having a baby with a birth defect, such as:

  • Smoking, drinking alcohol, or taking certain "street" drugs during pregnancy
  • Having certain medical conditions, such as obesity or uncontrolled diabetes, before and during pregnancy
  • Taking certain medicines
  • Having someone in your family with a birth defect. To learn more about your risk of having a baby with a birth defect, you can talk with a genetic counselor,
  • Being an older mother, typically over the age of 34 years

How are birth defects diagnosed?

Health care providers can diagnose some birth defects during pregnancy, using prenatal testing. That's why it important to get regular prenatal care.

Other birth defects may not be found until after the baby is born. Providers may find them through newborn screening. Some defects, such as club foot, are obvious right away. Other times, the health care provider may not discover a defect until later in life, when the child has symptoms.

What are the treatments for birth defects?

Children with birth defects often need special care and treatments. Because the symptoms and problems caused by birth defects vary, the treatments also vary. Possible treatments may include surgery, medicines, assistive devices, physical therapy, and speech therapy.

Often, children with birth defects need a variety of services and may need to see several specialists. The primary health care provider can coordinate the special care that the child needs.

Can birth defects be prevented?

Not all birth defects can be prevented. But there are things you can do before and during pregnancy to increase your chance of having a healthy baby:

  • Start prenatal care as soon as you think you might be pregnant, and see your health care provider regularly during pregnancy
  • Get 400 micrograms (mcg) of folic acid every day. If possible, you should start taking it at least one month before you get pregnant.
  • Don't drink alcohol, smoke, or use "street" drugs
  • Talk to your health care provider about any medicines you are taking or thinking about taking. This includes prescription and over-the-counter medicines, as well as dietary or herbal supplements.
  • Learn how to prevent infections during pregnancy
  • If you have any medical conditions, try to get them under control before you get pregnant

Centers for Disease Control and Prevention


[Learn More in MedlinePlus]

Eye Diseases

What diseases can affect the eye?

Even if your eyes feel healthy, you could have a problem and not know it. That's why regular eye exams are so important. Refractive errors are the most common type of vision problem that makes it hard to see clearly. But some eye conditions or diseases don't have any symptoms and can lead to a permanent loss of vision.

Some common eye diseases and conditions include:

  • Cataracts, which happens when the clear lens in the front of your eye becomes cloudy. Cataracts are common as you get older and can lead to vision loss.
  • Optic nerve disorders, which includes glaucoma. Glaucoma usually happens when the fluid pressure inside your eyes slowly rises.
  • Retinal disorders, which are problems with the nerve layer at the back of your eye.
  • Macular degeneration, which is a disease that destroys your sharp, central vision.
  • Diabetic eye problems, which can cause vision loss and blindness.
  • Conjunctivitis, which is an infection also known as pink eye. It can cause pink or red itchy eyes. Some types of pink eye can spread very easily.

What are the symptoms of eye diseases?

Some eye conditions and diseases do not always have symptoms. Early detection through a comprehensive dilated eye exam could help your eye care provider detect diseases in the early stages. Proper treatment could help slow or prevent vision loss.

Get regular eye exams and call your eye care professional right away if you notice any of these symptoms:

  • A sudden change in vision
  • Everything looks dim
  • Flashes of light
  • Eye pain
  • Double vision
  • Fluid coming from your eye
  • Inflammation (swelling)

Who is more likely to develop eye diseases?

Getting older increases your risk of some eye diseases. Other things that may put you at a higher risk of some eye diseases can include if you:

  • Are overweight or obese
  • Have a family history of eye disease
  • Are African American, Hispanic, or Native American
  • Have certain health conditions such as Diabetic eye problems, or high blood pressure

What are the treatments for eye diseases?

Treatment may depend on the eye condition or disease but can include:

  • A new prescription for eyeglasses or contacts
  • Use of bright lights or magnifying lenses for reading and other activities
  • Medicines
  • Prescription eye drops or ointments
  • Laser treatment
  • Surgery

Depending on your eye condition or disease, treatment may slow vision loss but may not restore vision. Talk to your provider about what treatment is best for you.

Can eye diseases be prevented?

Your best defense is to have regular checkups. Be sure to tell your provider if any eye diseases run in your family.

You can also help take care of your vision by making lifestyle changes to lower your risk of health conditions that can cause vision problems. This could include by:

  • Protecting your eyes from the sun
  • Wearing protective eyewear while using tools or playing certain sports
  • Getting regular physical activity
  • Staying at a healthy weight
  • Quitting smoking (or not starting)
  • Eating a healthy diet

NIH: National Eye Institute


[Learn More in MedlinePlus]

Code History

  • FY 2026 - No Change, effective from 10/1/2025 through 9/30/2026
  • FY 2025 - No Change, effective from 10/1/2024 through 9/30/2025
  • 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.