ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesQ16.0

Q16.0

Billable

Congenital absence of (ear) auricle

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

Code Description

ICD-10 Q16.0 is a billable code used to indicate a diagnosis of congenital absence of (ear) auricle.

Key Diagnostic Point:

Congenital absence of the auricle, also known as microtia, is a condition where the external ear is underdeveloped or absent at birth. This malformation can occur in isolation or as part of a syndrome involving other congenital anomalies. The severity of microtia can vary significantly, ranging from a small, malformed ear to complete absence of the auricle. In some cases, associated conditions may include hearing loss, which can be conductive due to the absence of the ear structure. The condition may be linked to environmental factors, genetic predispositions, or teratogenic influences during pregnancy. Diagnosis is typically made through physical examination, and imaging studies may be utilized to assess the internal ear structures. Management often involves a multidisciplinary approach, including audiology for hearing assessments and potential surgical interventions for cosmetic and functional restoration. Understanding the implications of this condition is crucial for appropriate coding and management in pediatric patients.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and severity of the condition
  • Potential for associated syndromic features
  • Need for multidisciplinary documentation
  • Differentiation from similar conditions (e.g., anotia)

Audit Risk Factors

  • Inadequate documentation of associated conditions
  • Failure to specify laterality (unilateral vs. bilateral)
  • Misclassification of severity or type of malformation
  • Lack of supporting clinical evidence for the diagnosis

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed history of prenatal exposure, family history of congenital anomalies, and physical examination findings.

Common Clinical Scenarios

Evaluation of a newborn with absent auricles during routine examination, referral for audiology assessment.

Billing Considerations

Consideration of developmental milestones and potential need for hearing aids or surgical intervention.

Genetics

Documentation Requirements

Genetic testing results, family pedigree, and any syndromic associations.

Common Clinical Scenarios

Genetic counseling for families with a history of congenital ear anomalies, assessment for syndromic conditions.

Billing Considerations

Understanding the genetic basis of associated syndromes and implications for family planning.

Coding Guidelines

Inclusion Criteria

Use Q16.0 When
  • Follow the official ICD
  • CM guidelines for coding congenital malformations, ensuring accurate documentation of the condition's severity and any associated anomalies

Exclusion Criteria

Do NOT use Q16.0 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

69300CPT Code

Ear reconstruction

Clinical Scenario

Used for surgical correction of microtia.

Documentation Requirements

Preoperative assessment, surgical notes, and postoperative follow-up.

Specialty Considerations

Pediatric considerations for anesthesia and recovery.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of congenital conditions, improving the accuracy of data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of congenital conditions, improving the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the difference between microtia and anotia?

Microtia refers to the underdevelopment or absence of the auricle, while anotia is the complete absence of the external ear. Accurate coding requires distinguishing between these conditions based on clinical findings.