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    OpenPayerBilling CodesCongenital malformations of eye, ear, face and neckICD-10-CM q10-congenital-malformations-of-eyelid-lacrimal-apparatus-and-orbit
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    ICD-10-CM Code For Congenital Malformations Of Eyelid Lacrimal Apparatus And Orbit: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group Q10 includes congenital malformations of the eyelid, lacrimal apparatus, and orbit such as coloboma of the eyelid, lacrimal duct anomalies, and congenital orbital malformations. These ICD-10-CM diagnosis codes are used to document congenital structural abnormalities of the ocular adnexa, capturing anatomic involvement, laterality, and associated functional impairment. Accurate coding within the ICD-10-CM Q10 group supports proper claim adjudication, complete clinical documentation, and appropriate reimbursement.

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    ICD-10-CM Q10: Congenital Malformations Of Eyelid, Lacrimal Apparatus And Orbit Overview

    This group includes congenital structural anomalies affecting the eyelids, lacrimal drainage system, and orbital tissues. These conditions target ocular adnexa and periorbital structures and can impact vision, tear drainage, and cosmetic appearance. Accurate coding matters for complete clinical documentation and appropriate reimbursement.

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    When to Use

    Use a code from this group when documenting a congenital structural abnormality of the eyelid, lacrimal apparatus, or orbit identified during clinical evaluation. Codes in this group should be selected to reflect the specific anatomic defect, laterality, and any documented functional impact.

    ICD-10-CM Codes

    8 rows

    ICD-10-CM CodeDescription
    Q10.0Congenital ptosis
    Q10.1Congenital ectropion
    Q10.2Congenital entropion
    Q10.3Other congenital malformations of eyelid
    Q10.4Absence and agenesis of lacrimal apparatus
    Q10.5Congenital stenosis and stricture of lacrimal duct
    Q10.6Other congenital malformations of lacrimal apparatus
    Q10.7Congenital malformation of orbit

    DRG Codes

    2 rows

    DRG CodeDescription
    124Other Disorders of the Eye with MCC or Thrombolytic Agent
    125Other Disorders of the Eye without MCC

    Typical Clinical Scenarios

    • A newborn is evaluated in the neonatal unit for incomplete eyelid development noted on routine exam with partial fusion of the upper eyelids and abnormal tarsal formation causing exposure keratopathy risk. Ophthalmology is consulted for assessment and planning of protective measures and potential surgical repair; a congenital eyelid malformation code is assigned to document the structural anomaly present at birth. Typical codes: Q10.0, Q10.1
    • A school-age child presents to pediatric ophthalmology for chronic tearing and recurrent dacryocystitis; assessment reveals congenital nasolacrimal duct obstruction with an associated dacryocele and localized infection unresponsive to conservative massage. The persistent lacrimal drainage anomaly dating from infancy that now requires probing or surgical intervention is coded to reflect the congenital lacrimal apparatus malformation and its current complication. Typical codes: Q10.2, Q10.5
    • An adult with a history of craniofacial congenital anomalies is seen in a multidisciplinary clinic for orbital deformity causing globe malposition and exposure-related corneal irritation; imaging confirms congenital malformation of the orbit contributing to functional impairment. A congenital orbital malformation diagnosis is assigned to document the underlying developmental anomaly as a comorbidity influencing management decisions. Typical codes: Q10.6, Q10.7

    Related Codes

    Q11-ANOPHTHALMOS-MICROPHTHALMOS-MACROPHTHALMOS

    ICD-10-CM Code For Anophthalmos Microphthalmos And Macrophthalmos: Group Overview

    Q13-CONGENITAL-MALFORMATIONS-ANTERIOR-SEGMENT

    ICD-10-CM Code For Congenital Malformations Of Anterior Segment Of Eye: Group Overview

    Q14-CONGENITAL-MALFORMATIONS-POSTERIOR-EYE

    ICD-10-CM Code For Congenital Malformations Of Posterior Segment Of Eye: Group Overview

    Q15-OTHER-CONGENITAL-MALFORMATIONS-OF-EYE

    ICD-10-CM Code For Other Congenital Malformations Of Eye: Group Overview

    Q16-CONGENITAL-MALFORMATIONS-OF-EAR

    ICD-10-CM Code For Congenital Malformations Of Ear Causing Impairment Of Hearing: Group Overview

    Q17-OTHER-CONGENITAL-MALFORMATIONS-OF-EAR

    ICD-10-CM Code For Other Congenital Malformations Of Ear: Group Overview

    Q18-OTHER-CONGENITAL-MALFORMATIONS-FACE-NECK

    ICD-10-CM Code For Other Congenital Malformations Of Face And Neck: Group Overview

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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