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Q11.3

Billable

Macrophthalmos

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 abnormally large in size.

Coding Tips

  • Specify laterality (right, left, or bilateral) in the documentation
  • Macrophthalmos may be associated with glaucoma or other complications; code separately if documented

Excludes 1 — Do NOT code together

  • macrophthalmos in congenital glaucoma (Q15.0)

Code Hierarchy

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