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Q12.4

Billable

Spherophakia

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 eye lens is abnormally spherical (ball-shaped) instead of its normal lens shape, causing vision problems.

Coding Tips

  • •Document whether the condition is unilateral or bilateral for complete coding
  • •Note any associated vision impairment or complications in the medical record for additional coding

Code Hierarchy

└Q12Congenital lens malformations└Q12.4Spherophakia
└Q12.4Spherophakia

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