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2025 ICD-10-CM code Q10

Congenital malformations of the eyelid, lacrimal apparatus, and orbit.

Refer to the official ICD-10-CM coding guidelines for proper code selection and documentation requirements.Use the most specific code available to accurately reflect the diagnosed condition.

Medical necessity would be established based on the impact of the malformation on vision, tear drainage, cosmetic appearance, and the risk of complications such as recurrent infections or amblyopia (lazy eye).The need for surgical intervention would typically be determined based on the severity of the condition and its impact on the patient's quality of life.

Ophthalmologist, Pediatric ophthalmologist, Geneticist, Craniofacial surgeon (depending on the severity and complexity of the malformation)

IMPORTANT:Q10.0 Congenital ptosis, Q10.1 Congenital ectropion, Q10.2 Congenital entropion, Q10.3 Other congenital malformations of eyelid, Q10.4 Congenital malformations of lacrimal apparatus, Q10.8 Other specified congenital malformations of eyelid, lacrimal apparatus and orbit, Q10.9 Congenital malformation of eyelid, lacrimal apparatus and orbit, unspecified

In simple words: This code describes birth defects affecting the eyelids, tear ducts, and the bony socket of the eye.These problems can range from mild to severe and may involve one or more parts of these structures.

This ICD-10-CM code encompasses a range of congenital (present from birth) structural defects affecting the eyelid, lacrimal system (tear ducts and related structures), and the orbit (bony socket of the eye).These malformations can vary in severity and may involve single or multiple components of these structures.Specific examples include, but are not limited to, congenital ptosis (drooping eyelid), abnormalities of the tear ducts (e.g., dacryostenosis), and deformities of the orbital bones.

Example 1: A newborn infant presents with bilateral congenital ptosis (drooping eyelids), requiring assessment and possible surgical correction., A child is diagnosed with congenital dacryostenosis (narrowing of the tear duct), causing excessive tearing and recurrent infections.Medical management and/or surgical intervention may be considered., A patient is born with an orbital bone deformity affecting the position and function of the eye. This might require surgical intervention involving multiple specialists.

Detailed ophthalmologic examination including visual acuity assessment, documentation of eyelid position and function, assessment of tear production and drainage, and imaging studies (e.g., orbital CT or MRI) if indicated. Genetic testing may be considered depending on the suspected etiology and family history.

** This code is not applicable to maternal records.The specific subcodes under Q10 should be used when available to provide greater specificity regarding the affected structures.

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