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H18.7 vs Q13.4

H18.7 (Other and unspecified corneal deformities) compared with Q13.4 (Other congenital corneal malformations), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. H18.7 carries an Excludes1 note covering Q13.4: “congenital malformations of cornea (Q13.3-Q13.4)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

H18.7Other and unspecified corneal deformitiesQ13.4Other congenital corneal malformations
Billing statusNon-billable header

Report instead: H18.70, H18.711, H18.712, H18.713, H18.719

Billable
ClassificationH00-H59 — Diseases of the Eye and Adnexa (H00-H59)Q00-Q99 — Congenital Malformations, Deformations and Chromosomal Abnormalities (Q00-Q99)
DefinitionOther and unspecified corneal deformities is a non-billable ICD-10-CM category code (H18.7).Other congenital corneal malformations is a billable ICD-10-CM diagnosis code (Q13.4).
Includes
Congenital malformation of cornea NOS
Microcornea
Peter's anomaly

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