Q10.4 Absence and agenesis of lacrimal apparatus

Billable ICD-10-CM code, FY2026. Exempt from present-on-admission (POA) reporting.

Applicable to

• Congenital absence of punctum lacrimale

Applies from Q10 Congenital malformations of eyelid, lacrimal apparatus and orbit

Excludes1 (never code together)

• cryptophthalmos NOS (Q11.2)
• cryptophthalmos syndrome (Q87.0)

MS-DRG index

Defines the logic of DRG(s) 124-125 in MDC 02.

Approximate ICD-9-CM (GEMs)

• 743.65 Specified congenital anomalies of lacrimal passages (approximate)

Code annotations containing back-references to Q10.4

Back-references to Q10.4

• Type 1 Excludes: H04 Disorders of lacrimal system ("congenital malformations of lacrimal system (Q10.4-Q10.6)")

Diagnosis Index entries for Q10.4

• 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

Nearby codes

• 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
• Q10.4 Absence and agenesis of lacrimal apparatus (this code)
• Q10.5 Congenital stenosis and stricture of lacrimal duct
• Q10.6 Other congenital malformations of lacrimal apparatus
• Q10.7 Congenital malformation of orbit