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Q11.1

Billable

Other anophthalmos

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

What This Code Means

A birth defect where one or both eyes are absent or fail to develop, other than cystic forms.

Coding Tips

  • •Specify laterality (unilateral or bilateral) as this significantly impacts visual prognosis
  • •Document whether this is complete absence or severe underdevelopment

Code Hierarchy

└Q11Anophthalmos, microphthalmos and macrophthalmos└Q11.1Other anophthalmos
└Q11.1Other anophthalmos

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