Skip to main content

Q14.1 vs Q28

Q14.1 (Congenital malformation of retina) compared with Q28 (Other congenital malformations of circulatory system), 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. Q28 carries an Excludes2 note covering Q14.1: “congenital retinal aneurysm (Q14.1)”

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

Side by side

Q14.1Congenital malformation of retinaQ28Other congenital malformations of circulatory system
Billing statusBillableNon-billable header

Report instead: Q28.0, Q28.1, Q28.2, Q28.3, Q28.8

ClassificationQ00-Q99 — Congenital Malformations, Deformations and Chromosomal Abnormalities (Q00-Q99)Q00-Q99 — Congenital Malformations, Deformations and Chromosomal Abnormalities (Q00-Q99)
DefinitionCongenital malformation of retina is a billable ICD-10-CM diagnosis code (Q14.1).Other congenital malformations of circulatory system is a non-billable ICD-10-CM category code (Q28).
Includes
Congenital retinal aneurysm

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