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Q15.9

Billable

Congenital malformation of eye, unspecified

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

What This Code Means

A birth defect of the eye where the specific type or nature of the malformation is not specified or documented.

Coding Tips

  • This is a last-resort code; always attempt to obtain more specific information about the eye malformation from clinical documentation
  • Review imaging reports or ophthalmology notes to determine if a more specific Q15 code applies

Code Hierarchy

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