ICD-10 Q10
Non-Billable HeaderCongenital malformations of eyelid, lacrimal apparatus and orbit
About ICD-10-CM Q10
ICD-10-CM code Q10 represents Congenital malformations of eyelid, lacrimal apparatus and orbit. This is a non-billable header code in the Congenital Malformations chapter (block Q10). The 2026 edition of ICD-10-CM Q10 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Type 1 Excludes
Pure excludes, these codes can never be coded together with Q10. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- cryptophthalmos NOS (Q11.2)
- cryptophthalmos syndrome (Q87.0)
Medicare LCD Coverage for Q10
Local Coverage Determinations (LCDs) from CMS MACs that list Q10 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing Q10.
1 Cigna
CPT Codes Commonly Billed with Q10
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Codes Adjacent To Q10
Other codes in section Q10-Q18 (Congenital malformations of eye, ear, face and neck).
ICD-10 Q10, Billing FAQ
Is ICD-10 code Q10 billable? +
No, Q10 is a non-billable header code. Use a more specific child code from block Q10 when submitting claims.
What codes are Type 1 Excludes for Q10? +
Type 1 Excludes (never code together with Q10): cryptophthalmos NOS (Q11.2); cryptophthalmos syndrome (Q87.0)
Get the full PayerReady toolkit
Free access to CPT/ICD-10 lookup, denial appeals, fee comparator, and claim auditing with credentialing enrollment.
Start free →Run this code through our claim audit tool
Check NCCI bundling, MUE limits, and modifier logic before submission.
Try the auditor →Did this page help?
Quick signal so we know what to improve.
If you want a code reference page that doesn't exist yet, email coding@payerready.com.
Tell us what's missing or wrong: coding@payerready.com. We respond within 5 business days.
Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
Powered by 11K CPT · 98K ICD-10 · 860K MPFS rates · 4.5M NCCI edits · 9.5M NPIs. Our data methodology · About our coding team