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2025 ICD-10-CM code Q10.6

Other congenital malformations of the lacrimal apparatus.

Refer to the official ICD-10-CM coding guidelines for detailed instructions on selecting the most appropriate code based on the specific congenital malformation and documentation.

Medical necessity for treatment is established based on the clinical impact of the lacrimal malformation on the patient's visual function, comfort, or potential for infection.

Ophthalmologist or other relevant specialist for diagnosis and management of congenital lacrimal abnormalities.

IMPORTANT:Excludes1: cryptophthalmos NOS (Q11.2), cryptophthalmos syndrome (Q87.0).Refer to ICD-9-CM codes 743.64 (Specified congenital anomalies of lacrimal gland), 743.65 (Specified congenital anomalies of lacrimal passages), and 743.69 (Other congenital anomalies of eyelids, lacrimal system, and orbit) for potential cross-referencing.

In simple words: This code describes birth defects related to the tear ducts and glands in the eyes. It covers problems not already categorized under specific codes for eye, ear, face, or neck abnormalities.

This ICD-10-CM code classifies other congenital malformations affecting the lacrimal apparatus, which includes structures responsible for tear production and drainage.This encompasses a range of anomalies not specified elsewhere within the Q10-Q18 code range.It excludes cryptophthalmos NOS (Q11.2) and cryptophthalmos syndrome (Q87.0).

Example 1: A newborn infant presents with epiphora (excessive tearing) and swelling around one eye due to a blocked nasolacrimal duct.The ophthalmologist diagnoses a congenital nasolacrimal duct obstruction., A child is diagnosed with dacryocystocele (a cyst in the lacrimal sac) during a routine well-child examination.This is confirmed through imaging studies and ophthalmological assessment., An infant is noted to have an abnormally formed lacrimal gland during examination, resulting in insufficient tear production. The ophthalmologist makes a note on this as an unusual finding.

Detailed ophthalmologic examination findings, including description of the specific malformation, imaging reports (e.g., dacryocystography), and documentation of any treatment provided.

** This code is used for congenital anomalies not specifically listed elsewhere.Careful documentation is crucial for accurate coding.

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