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Q12.0

Billable

Congenital cataract

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 lens of the eye is cloudy or opaque from birth, affecting vision.

Coding Tips

  • Specify laterality (right, left, or bilateral) as this affects treatment planning
  • Document whether the cataract is partial or total, and if it's progressive

Code Hierarchy

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