Skip to main content

H47.03 vs Q15

H47.03 (Optic nerve hypoplasia) compared with Q15 (Other congenital malformations of eye), 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. Q15 carries an Excludes1 note covering H47.03: “optic nerve hypoplasia (H47.03-)”

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

H47.03Optic nerve hypoplasiaQ15Other congenital malformations of eye
Billing statusNon-billable header

Report instead: H47.031, H47.032, H47.033, H47.039

Non-billable header

Report instead: Q15.0, Q15.8, Q15.9

ClassificationH00-H59 — Diseases of the Eye and Adnexa (H00-H59)Q00-Q99 — Congenital Malformations, Deformations and Chromosomal Abnormalities (Q00-Q99)
DefinitionOptic nerve hypoplasia is a non-billable ICD-10-CM category code (H47.03).Other congenital malformations of eye is a non-billable ICD-10-CM category code (Q15).

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