Q12.8 Other congenital lens malformations

The ICD-10-CM code for Other congenital lens malformations is Q12.8 (FY2026). It is a billable, claim-ready diagnosis code.

Classification

Chapter

17: Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0)

Section

Q10-Q18: Congenital malformations of eye, ear, face and neck (Q10-Q18)

Category Q12

8 codes (7 billable)

FY2026 Status

Stable since FY2024

Also Known As

ICD-10-CM Alphabetic Index entries that lead to Q12.8:

• Lenticonus (anterior) (posterior) (congenital)
• Microphakia (congenital)
• Lentiglobus (posterior) (congenital)
• Microlentia (congenital)
• Persistence, persistent (congenital) › capsule (opaque)
• Hypoplasia, hypoplastic › zonule (ciliary)
• Distortion (s) (congenital) › lens
• Cyst (colloid) (mucous) (simple) (retention) › lens › congenital

Inclusion Terms

• Microphakia

U.S. Hospital Utilization

Q12.8 appeared in too few sampled U.S. inpatient stays in 2023 to report a national estimate (AHRQ suppresses counts of 10 or fewer) — a rare inpatient diagnosis.

Source: National Inpatient Sample (NIS), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, 2016–2023. National survey-weighted estimates.

Official Coding Guidelines

POA indicator for congenital conditions/anomalies and Q00-Q99 exception

Congenital conditions and anomalies Assign “Y” for congenital conditions and anomalies except for categories Q00- Q99, Congenital anomalies, which are on the exempt list. Congenital conditions are always considered present on admission.

Source: CMS — ICD-10-CM Official Guidelines for Coding and Reporting, FY2026

References

• CMS — ICD-10-CM Official Code Set and Guidelines, FY2026
• CDC/NCHS — ICD-10-CM Files and Browser Tool
• AHRQ — HCUP National Inpatient Sample, Frequencies by Diagnosis Code (2016–2023)