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Q10.0

Billable

Congenital ptosis

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

A birth defect where the eyelid droops due to weakness or underdevelopment of the muscles that lift the eyelid.

Coding Tips

  • Specify laterality (right, left, or bilateral) in documentation to support accurate coding
  • Distinguish from acquired ptosis (H02.4) which develops after birth

Code Hierarchy

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