ICD-10 Q14
Non-Billable HeaderCongenital malformations of posterior segment of eye
About ICD-10-CM Q14
ICD-10-CM code Q14 represents Congenital malformations of posterior segment of eye. This is a non-billable header code in the Congenital Malformations chapter (block Q14). The 2026 edition of ICD-10-CM Q14 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 2 Excludes
Not included here, the excluded code is not part of Q14, but a patient may have both conditions at the same time. Both codes may be coded together when applicable.
- optic nerve hypoplasia (H47.03-)
Medicare LCD Coverage for Q14
Local Coverage Determinations (LCDs) from CMS MACs that list Q14 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 Q14.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but Q14 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with Q14
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 Q14
Other codes in section Q10-Q18 (Congenital malformations of eye, ear, face and neck).
ICD-10 Q14, Billing FAQ
Is ICD-10 code Q14 billable? +
No, Q14 is a non-billable header code. Use a more specific child code from block Q14 when submitting claims.
What codes are Type 2 Excludes for Q14? +
Type 2 Excludes (may be coded together when both conditions exist): optic nerve hypoplasia (H47.03-)
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
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