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H15.8 vs Q13.5

H15.8 (Other disorders of sclera) compared with Q13.5 (Blue sclera), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).

Can these codes be reported together?

Yes, when both are documented. H15.8 carries an Excludes2 note covering Q13.5: “blue sclera (Q13.5)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Side by side

H15.8Other disorders of scleraQ13.5Blue sclera
Billing statusNon-billable header

Report instead: H15.811, H15.812, H15.813, H15.819, H15.821

Billable
ClassificationH00-H59 — Diseases of the Eye and Adnexa (H00-H59)Q00-Q99 — Congenital Malformations, Deformations and Chromosomal Abnormalities (Q00-Q99)
DefinitionOther disorders of sclera is a non-billable ICD-10-CM category code (H15.8).Blue sclera is a billable ICD-10-CM diagnosis code (Q13.5).

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources