Q11 vs Q67.5
Q11 (Anophthalmos, microphthalmos and macrophthalmos) compared with Q67.5 (Congenital deformity of spine), 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. Q11 carries an Excludes2 note covering Q67.5: “congenital malformation of cervical spine (Q05.0, Q05.5, Q67.5, Q76.0-Q76.4)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| Q11Anophthalmos, microphthalmos and macrophthalmos | Q67.5Congenital deformity of spine | |
|---|---|---|
| Billing status | Non-billable header | Billable |
| Classification | Q00-Q99 — Congenital Malformations, Deformations and Chromosomal Abnormalities (Q00-Q99) | Q00-Q99 — Congenital Malformations, Deformations and Chromosomal Abnormalities (Q00-Q99) |
| Definition | Anophthalmos, microphthalmos and macrophthalmos is a non-billable ICD-10-CM category code (Q11). | Congenital deformity of spine is a billable ICD-10-CM diagnosis code (Q67.5). |
| Includes | — | Congenital postural scoliosis Congenital scoliosis NOS |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources