Q12.4 — Spherophakia
Is Q12.4 billable?
Yes — Q12.4 is billable for FY2027. Q12.4 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. Q12.4 may be submitted for encounters from October 1, 2026 through September 30, 2027.
Q12.4 at a glance
| Code | Q12.4 |
|---|---|
| Description | Spherophakia |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does Q12.4 group to?
Q12.4 sits in MDC 02 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 124Other Disorders of the Eye with MCC or Thrombolytic Agentmedical
- 125Other Disorders of the Eye without MCCmedical
How is Q12.4 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to Q12.4. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Sphericity, increased, lens (congenital)
- Spherophakia
- Increase, increased › sphericity, lens
Excludes2 — not included here — inherited from Chapter 17
The conditions below are not part of Q12.4, but a patient may have both at the same time. When documentation supports it, Q12.4 and the excluded code may both be reported.
- inborn errors of metabolism (E70-E88)
Excludes2 — not included here — inherited from Q10-Q18
The conditions below are not part of Q12.4, but a patient may have both at the same time. When documentation supports it, Q12.4 and the excluded code may both be reported.
- 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)
How long has Q12.4 existed?
Q12.4 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.