ICD-10 Q10.0
Billable / SpecificCongenital ptosis
About ICD-10-CM Q10.0
ICD-10-CM code Q10.0 represents Congenital ptosis. This is a billable/specific code in the Congenital Malformations chapter (block Q10). The 2026 edition of ICD-10-CM Q10.0 became effective on October 1, 2025.
Medicare LCD Coverage for Q10.0
Local Coverage Determinations (LCDs) from CMS MACs that list Q10.0 as a covered diagnosis.
Showing top 10 of 141 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing Q10.0.
2 Aetna
5 Medicare
CPT Codes Commonly Billed with Q10.0
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 67906 CMS LCD: Billing and Coding: Blepharoplasty, Eyelid Surgery, and Brow Lift CMS LCD
- 67908 CMS LCD: Billing and Coding: Blepharoplasty, Eyelid Surgery, and Brow Lift CMS LCD
- 67902 CMS LCD: Billing and Coding: Blepharoplasty, Eyelid Surgery, and Brow Lift CMS LCD
- 15823 CMS LCD: Billing and Coding: Blepharoplasty, Eyelid Surgery, and Brow Lift CMS LCD
- 67901 CMS LCD: Billing and Coding: Blepharoplasty, Eyelid Surgery, and Brow Lift CMS LCD
- 67904 CMS LCD: Billing and Coding: Blepharoplasty, Eyelid Surgery, and Brow Lift CMS LCD
- 67903 CMS LCD: Billing and Coding: Blepharoplasty, Eyelid Surgery, and Brow Lift CMS LCD
- 67900 CMS LCD: Billing and Coding: Blepharoplasty, Eyelid Surgery, and Brow Lift CMS LCD
- 15822 CMS LCD: Billing and Coding: Blepharoplasty, Eyelid Surgery, and Brow Lift CMS LCD
- 67909 CMS LCD: Billing and Coding: Blepharoplasty, Eyelid Surgery, and Brow Lift CMS LCD
Convert Q10.0 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| Q10.0 | 74361 | 00000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To Q10.0
Other codes in section Q10-Q18 (Congenital malformations of eye, ear, face and neck).
ICD-10 Q10.0, Billing FAQ
Is ICD-10 code Q10.0 billable? +
Yes, Q10.0 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What CPT codes are commonly billed with Q10.0? +
Procedures frequently paired with Q10.0 include: 67906, 67908, 67902, 15823, 67901.
What ICD-9 codes does Q10.0 map to? +
Per CMS GEMs, Q10.0 maps to ICD-9 codes: 74361. Useful for legacy data review and historical claim analysis.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on July 16, 2026.
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