ICD-10 · PDGM grouping
Q10-Q18 — Congenital malformations of eye, ear, face and neck
Every ICD-10-CM code in this range and the PDGM clinical group CMS assigns to it, read from the CMS grouper crosswalk v07.2.26.
ICD-10-CM FY2027 · CMS grouper v07.2.26
Codes in range
62
No clinical group
62
A period cannot be grouped from these.
Barred as primary
0
CMS rejects these in the primary position.
Where these codes group
None of the 62 codes in Q10-Q18 is assigned a PDGM clinical group. A 30-day period cannot be grouped from any of them, so none can hold the primary position on a home health claim.
Code families in Q10-Q18
One page per three-character family: every code in it, whether it can lead a claim, its clinical group and comorbidity subgroup.
- Q10Congenital malformations of eyelid, lacrimal apparatus and orbit8 codes
- Q11Anophthalmos, microphthalmos and macrophthalmos4 codes
- Q12Congenital lens malformations7 codes
- Q13Congenital malformations of anterior segment of eye9 codes
- Q14Congenital malformations of posterior segment of eye6 codes
- Q15Other congenital malformations of eye3 codes
- Q16Congenital malformations of ear causing impairment of hearing7 codes
- Q17Other congenital malformations of ear8 codes
- Q18Other congenital malformations of face and neck10 codes
Every code in Q10-Q18
Descriptions are CMS’s own, abbreviated as CMS abbreviates them.
| Code | Description | Clinical group | Primary position |
|---|---|---|---|
| Q100 | Congenital ptosis | None | Cannot lead a claim |
| Q101 | Congenital ectropion | None | Cannot lead a claim |
| Q102 | Congenital entropion | None | Cannot lead a claim |
| Q103 | Other congenital malformations of eyelid | None | Cannot lead a claim |
| Q104 | Absence and agenesis of lacrimal apparatus | None | Cannot lead a claim |
| Q105 | Congenital stenosis and stricture of lacrimal duct | None | Cannot lead a claim |
| Q106 | Other congenital malformations of lacrimal apparatus | None | Cannot lead a claim |
| Q107 | Congenital malformation of orbit | None | Cannot lead a claim |
| Q110 | Cystic eyeball | None | Cannot lead a claim |
| Q111 | Other anophthalmos | None | Cannot lead a claim |
| Q112 | Microphthalmos | None | Cannot lead a claim |
| Q113 | Macrophthalmos | None | Cannot lead a claim |
| Q120 | Congenital cataract | None | Cannot lead a claim |
| Q121 | Congenital displaced lens | None | Cannot lead a claim |
| Q122 | Coloboma of lens | None | Cannot lead a claim |
| Q123 | Congenital aphakia | None | Cannot lead a claim |
| Q124 | Spherophakia | None | Cannot lead a claim |
| Q128 | Other congenital lens malformations | None | Cannot lead a claim |
| Q129 | Congenital lens malformation, unspecified | None | Cannot lead a claim |
| Q130 | Coloboma of iris | None | Cannot lead a claim |
| Q131 | Absence of iris | None | Cannot lead a claim |
| Q132 | Other congenital malformations of iris | None | Cannot lead a claim |
| Q133 | Congenital corneal opacity | None | Cannot lead a claim |
| Q134 | Other congenital corneal malformations | None | Cannot lead a claim |
| Q135 | Blue sclera | None | Cannot lead a claim |
| Q1381 | Rieger anomaly | None | Cannot lead a claim |
| Q1389 | Other congenital malformations of anterior segment of eye | None | Cannot lead a claim |
| Q139 | Congenital malformation of anterior segment of eye, unsp | None | Cannot lead a claim |
| Q140 | Congenital malformation of vitreous humor | None | Cannot lead a claim |
| Q141 | Congenital malformation of retina | None | Cannot lead a claim |
| Q142 | Congenital malformation of optic disc | None | Cannot lead a claim |
| Q143 | Congenital malformation of choroid | None | Cannot lead a claim |
| Q148 | Other congenital malformations of posterior segment of eye | None | Cannot lead a claim |
| Q149 | Congenital malformation of posterior segment of eye, unsp | None | Cannot lead a claim |
| Q150 | Congenital glaucoma | None | Cannot lead a claim |
| Q158 | Other specified congenital malformations of eye | None | Cannot lead a claim |
| Q159 | Congenital malformation of eye, unspecified | None | Cannot lead a claim |
| Q160 | Congenital absence of (ear) auricle | None | Cannot lead a claim |
| Q161 | Congenital absence, atresia and stricture of auditory canal | None | Cannot lead a claim |
| Q162 | Absence of eustachian tube | None | Cannot lead a claim |
| Q163 | Congenital malformation of ear ossicles | None | Cannot lead a claim |
| Q164 | Other congenital malformations of middle ear | None | Cannot lead a claim |
| Q165 | Congenital malformation of inner ear | None | Cannot lead a claim |
| Q169 | Congen malform of ear causing impairment of hearing, unsp | None | Cannot lead a claim |
| Q170 | Accessory auricle | None | Cannot lead a claim |
| Q171 | Macrotia | None | Cannot lead a claim |
| Q172 | Microtia | None | Cannot lead a claim |
| Q173 | Other misshapen ear | None | Cannot lead a claim |
| Q174 | Misplaced ear | None | Cannot lead a claim |
| Q175 | Prominent ear | None | Cannot lead a claim |
| Q178 | Other specified congenital malformations of ear | None | Cannot lead a claim |
| Q179 | Congenital malformation of ear, unspecified | None | Cannot lead a claim |
| Q180 | Sinus, fistula and cyst of branchial cleft | None | Cannot lead a claim |
| Q181 | Preauricular sinus and cyst | None | Cannot lead a claim |
| Q182 | Other branchial cleft malformations | None | Cannot lead a claim |
| Q183 | Webbing of neck | None | Cannot lead a claim |
| Q184 | Macrostomia | None | Cannot lead a claim |
| Q185 | Microstomia | None | Cannot lead a claim |
| Q186 | Macrocheilia | None | Cannot lead a claim |
| Q187 | Microcheilia | None | Cannot lead a claim |
| Q188 | Other specified congenital malformations of face and neck | None | Cannot lead a claim |
| Q189 | Congenital malformation of face and neck, unspecified | None | Cannot lead a claim |
Source: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
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