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ICD-10 Guide
ICD-10 CodesQ14.8

Q14.8

Billable

Other congenital malformations of posterior segment of eye

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 Q14.8 is a billable code used to indicate a diagnosis of other congenital malformations of posterior segment of eye.

Key Diagnostic Point:

Congenital malformations of the posterior segment of the eye encompass a variety of structural anomalies that can affect vision and ocular health. These malformations may include conditions such as coloboma, which is a defect in the structure of the eye that can affect the retina, choroid, or optic nerve. Other anomalies may involve the optic nerve itself, leading to conditions like optic nerve hypoplasia. These congenital conditions can arise from genetic factors, environmental influences, or a combination of both during fetal development. The posterior segment of the eye is crucial for vision, as it contains the retina, which converts light into neural signals, and the optic nerve, which transmits these signals to the brain. Early diagnosis and intervention are essential to manage these conditions effectively, as they can lead to significant visual impairment or blindness if left untreated. Management may involve surgical interventions, corrective lenses, or supportive therapies, depending on the severity and type of malformation.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and severity of congenital malformations
  • Need for detailed clinical documentation to support diagnosis
  • Potential overlap with other congenital eye conditions
  • Requirement for genetic testing results in some cases

Audit Risk Factors

  • Inadequate documentation of the specific type of malformation
  • Failure to include associated conditions or syndromes
  • Misclassification of congenital versus acquired conditions
  • Lack of genetic testing documentation when applicable

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Pediatric documentation should include detailed descriptions of the child's developmental history, family history of congenital conditions, and any associated syndromic features.

Common Clinical Scenarios

Common scenarios include a newborn presenting with anophthalmia or microphthalmia, requiring thorough evaluation and potential referral to specialists.

Billing Considerations

Consideration must be given to the age of the patient and the developmental milestones when coding congenital conditions.

Genetics

Documentation Requirements

Genetic documentation should include results from chromosomal analysis, family pedigree, and any genetic counseling notes that may indicate the hereditary nature of the condition.

Common Clinical Scenarios

Scenarios may involve genetic counseling for families with a history of congenital eye malformations or syndromes associated with chromosomal abnormalities.

Billing Considerations

Coders should be aware of the implications of genetic findings on the coding process and the importance of accurate family history documentation.

Coding Guidelines

Inclusion Criteria

Use Q14.8 When
  • Official coding guidelines for congenital conditions emphasize the importance of specificity in documentation, the need for accurate coding of associated conditions, and the requirement for genetic testing results when applicable

Exclusion Criteria

Do NOT use Q14.8 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

92014CPT Code

Ophthalmological examination, comprehensive, established patient

Clinical Scenario

Used for follow-up examinations of patients with congenital eye malformations.

Documentation Requirements

Documentation must include visual acuity measurements and any changes in ocular health.

Specialty Considerations

Pediatric ophthalmologists may require additional details on developmental milestones.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding congenital malformations, enabling better tracking of these conditions and their management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding congenital malformations, enabling better tracking of these conditions and their management.

Reimbursement & Billing Impact

reimbursement and compliance.

Resources

Clinical References

  • •
    American Academy of Pediatrics
  • •
    Genetics Home Reference

Coding & Billing References

  • •
    American Academy of Pediatrics
  • •
    Genetics Home Reference

Frequently Asked Questions

What documentation is required for coding Q14.8?

Documentation must include a detailed description of the congenital malformation, any associated conditions, and results from genetic testing if applicable. It is essential to differentiate between congenital and acquired conditions to ensure accurate coding.