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v1.0.0
ICD-10 Guide
ICD-10 CodesQ15.0

Q15.0

Billable

Congenital glaucoma

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

Code Description

ICD-10 Q15.0 is a billable code used to indicate a diagnosis of congenital glaucoma.

Key Diagnostic Point:

Congenital glaucoma is a rare eye condition characterized by increased intraocular pressure due to abnormal development of the eye's drainage system. This condition can lead to optic nerve damage and vision loss if not diagnosed and treated early. Congenital glaucoma typically presents in infancy or early childhood and may be associated with other congenital malformations, particularly those affecting the eye, such as anophthalmia (absence of one or both eyes) and microphthalmia (abnormally small eyes). The condition can also be linked to genetic syndromes, making genetic counseling an important aspect of management. Diagnosis is often made through a combination of clinical examination, intraocular pressure measurement, and imaging studies. Treatment usually involves surgical intervention to improve drainage and reduce intraocular pressure, along with ongoing monitoring to assess visual function and eye health.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and severity of congenital glaucoma.
  • Potential association with other congenital malformations.
  • Need for precise documentation of intraocular pressure measurements.
  • Differentiation from secondary glaucoma conditions.

Audit Risk Factors

  • Inadequate documentation of intraocular pressure readings.
  • Failure to document associated congenital anomalies.
  • Misclassification of congenital glaucoma as secondary glaucoma.
  • Lack of genetic evaluation documentation when indicated.

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Pediatric documentation should include detailed history of eye examinations, intraocular pressure measurements, and any associated congenital conditions.

Common Clinical Scenarios

Common scenarios include infants presenting with excessive tearing, photophobia, and corneal clouding, requiring urgent ophthalmologic evaluation.

Billing Considerations

Accurate coding requires awareness of the developmental timeline of congenital conditions and their potential impact on visual development.

Genetics

Documentation Requirements

Genetic documentation should include family history, genetic testing results, and any syndromic associations.

Common Clinical Scenarios

Genetic counseling may be necessary for families with a history of congenital glaucoma or related syndromes.

Billing Considerations

Consideration of genetic syndromes that may present with congenital glaucoma is crucial for accurate coding and management.

Coding Guidelines

Inclusion Criteria

Use Q15.0 When
  • According to ICD
  • 10 coding guidelines, congenital conditions should be coded based on the specific malformation and any associated conditions
  • Documentation must support the diagnosis and any interventions performed

Exclusion Criteria

Do NOT use Q15.0 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

66984CPT Code

Trabeculectomy

Clinical Scenario

Performed to reduce intraocular pressure in congenital glaucoma.

Documentation Requirements

Operative report detailing the procedure and indication.

Specialty Considerations

Ophthalmology documentation must include pre-operative assessments and post-operative follow-up.

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 ability to capture the complexity of congenital glaucoma and its associations.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of congenital conditions, improving the ability to capture the complexity of congenital glaucoma and its associations.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of congenital conditions, improving the ability to capture the complexity of congenital glaucoma and its associations.

Resources

Clinical References

  • •
    American Academy of Pediatrics - Congenital Glaucoma

Coding & Billing References

  • •
    American Academy of Pediatrics - Congenital Glaucoma

Frequently Asked Questions

What are the common symptoms of congenital glaucoma?

Common symptoms include excessive tearing, sensitivity to light, corneal clouding, and enlarged eyes. Early detection is crucial for preventing vision loss.