H47.03 vs Q14

H47.03 (Optic nerve hypoplasia) compared with Q14 (Congenital malformations of posterior segment of eye), 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. Q14 carries an Excludes2 note covering H47.03: “optic nerve hypoplasia (H47.03-)”

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

Side by side

	H47.03Optic nerve hypoplasia	Q14Congenital malformations of posterior segment of eye
Billing status	Non-billable header Report instead: H47.031, H47.032, H47.033, H47.039	Non-billable header Report instead: Q14.0, Q14.1, Q14.2, Q14.3, Q14.8
Classification	H00-H59 — Diseases of the Eye and Adnexa (H00-H59)	Q00-Q99 — Congenital Malformations, Deformations and Chromosomal Abnormalities (Q00-Q99)
Definition	Optic nerve hypoplasia is a non-billable ICD-10-CM category code (H47.03).	Congenital malformations of posterior segment of eye is a non-billable ICD-10-CM category code (Q14).

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