Q10.4 is the authoritative medical code for Absence and agenesis of lacrimal apparatus. This classification is used in medical billing and clinical recording to specify the clinical criteria for absence and agenesis of lacrimal apparatus (ICD-10-CM Q10.4), ensuring healthcare documentation aligns with 2026 federal coding standards.
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Official Registry Overview & Definition
Absence and agenesis of lacrimal apparatus is a billable ICD-10-CM diagnosis code Q10.4. Inclusion terms: Congenital absence of punctum lacrimale. Excludes1 (not coded here): cryptophthalmos NOS Q11.2; cryptophthalmos syndrome Q87.0. Excludes2 (not included here): cleft lip and cleft palate Q35-Q37; congenital malformation of cervical spine (Q05.0, Q05.5, Q67.5, Q76.0-Q76.4); congenital malformation of larynx Q31.-; congenital malformation of lip NEC Q38.0; congenital malformation of nose Q30.-; congenital malformation of parathyroid gland Q89.2; congenital malformation of thyroid gland Q89.2.
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for Q10.4 in the official ICD-10-CM tabular list.
Inclusion Terms
Alternative terms the tabular list files under this code.
- Congenital absence of punctum lacrimale
Excludes1 — Not Coded Here
Conditions that can never be reported with this code; the two are mutually exclusive.
- cryptophthalmos NOS Q11.2
- cryptophthalmos syndrome Q87.0
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- cleft lip and cleft palate Q35-Q37
- congenital malformation of cervical spine (Q05.0, Q05.5, Q67.5, Q76.0-Q76.4)
- congenital malformation of larynx Q31.-
- congenital malformation of lip NEC Q38.0
- congenital malformation of nose Q30.-
- congenital malformation of parathyroid gland Q89.2
- congenital malformation of thyroid gland Q89.2
Frequently Asked Questions (FAQ) & Clinical Guidance
What can't be coded together with Q10.4?
Per Excludes1 instructions, Q10.4 must not be reported with: cryptophthalmos NOS (Q11.2); cryptophthalmos syndrome (Q87.0).
Can Q10.4 be reported alongside related conditions?
Per Excludes2 instructions, Q10.4 and the following may both be reported when both are present: cleft lip and cleft palate (Q35-Q37); congenital malformation of cervical spine (Q05.0, Q05.5, Q67.5, Q76.0-Q76.4); congenital malformation of larynx (Q31.-); congenital malformation of lip NEC (Q38.0).
What conditions are included under Q10.4?
Absence and agenesis of lacrimal apparatus includes: Congenital absence of punctum lacrimale.
Codes in This Family (8)
Official ICD-10-CM classifications in the same code family as Q10.4, with their registry titles.
- Q10 — Congenital malformations of eyelid, lacrimal apparatus and orbit
- Q10.0 — Congenital ptosis
- Q10.1 — Congenital ectropion
- Q10.2 — Congenital entropion
- Q10.3 — Other congenital malformations of eyelid
- Q10.5 — Congenital stenosis and stricture of lacrimal duct
- Q10.6 — Other congenital malformations of lacrimal apparatus
- Q10.7 — Congenital malformation of orbit
Indexed Clinical Terms (6)
Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code.
- Absence (of) (organ or part) (complete or partial), canaliculus lacrimalis, congenital
- Absence (of) (organ or part) (complete or partial), punctum lacrimale (congenital)
- Agenesis, canaliculus lacrimalis
- Agenesis, lacrimal apparatus
- Agenesis, punctum lacrimale
- Atresia, atretic, lacrimal apparatus
Related Codes & Numerical Sequence (Crawl Map)
Search engines and indexers are advised to traverse adjacent medical codes in this sub-chapter range to find correlated diagnoses or therapeutic procedures: