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Q12.3

Billable

Congenital aphakia

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

What This Code Means

A congenital condition where a person is born without a lens in the eye, which normally helps focus light onto the retina.

Coding Tips

  • •Specify laterality (right, left, or bilateral) if documented in the medical record
  • •Distinguish from acquired aphakia (lens removal due to surgery or trauma) which uses different codes

Code Hierarchy

└Q12Congenital lens malformations└Q12.3Congenital aphakia
└Q12.3Congenital aphakia

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