Present On Admission Exempt Codes
ICD-10-CM diagnosis codes exempt from POA reporting based on the official FY2026 CMS POA exempt list.
- Q04.1Billable
Arhinencephaly
- Q04.2Billable
Holoprosencephaly
- Q04.3Billable
Other reduction deformities of brain
- Q04.4Billable
Septo-optic dysplasia of brain
- Q04.5Billable
Megalencephaly
- Q04.6Billable
Congenital cerebral cysts
- Q04.8Billable
Other specified congenital malformations of brain
- Q04.9Billable
Congenital malformation of brain, unspecified
- Q05.0Billable
Cervical spina bifida with hydrocephalus
- Q05.1Billable
Thoracic spina bifida with hydrocephalus
- Q05.2Billable
Lumbar spina bifida with hydrocephalus
- Q05.3Billable
Sacral spina bifida with hydrocephalus
- Q05.4Billable
Unspecified spina bifida with hydrocephalus
- Q05.5Billable
Cervical spina bifida without hydrocephalus
- Q05.6Billable
Thoracic spina bifida without hydrocephalus
- Q05.7Billable
Lumbar spina bifida without hydrocephalus
- Q05.8Billable
Sacral spina bifida without hydrocephalus
- Q05.9Billable
Spina bifida, unspecified
- Q06.0Billable
Amyelia
- Q06.1Billable
Hypoplasia and dysplasia of spinal cord
- Q06.2Billable
Diastematomyelia
- Q06.3Billable
Other congenital cauda equina malformations
- Q06.4Billable
Hydromyelia
- Q06.8Billable
Other specified congenital malformations of spinal cord
- Q06.9Billable
Congenital malformation of spinal cord, unspecified
- Q07.00Billable
Arnold-Chiari syndrome without spina bifida or hydrocephalus
- Q07.01Billable
Arnold-Chiari syndrome with spina bifida
- Q07.02Billable
Arnold-Chiari syndrome with hydrocephalus
- Q07.03Billable
Arnold-Chiari syndrome with spina bifida and hydrocephalus
- Q07.8Billable
Other specified congenital malformations of nervous system
- Q07.9Billable
Congenital malformation of nervous system, unspecified
- Q10.0Billable
Congenital ptosis
- Q10.1Billable
Congenital ectropion
- Q10.2Billable
Congenital entropion
- Q10.3Billable
Other congenital malformations of eyelid
- Q10.4Billable
Absence and agenesis of lacrimal apparatus
- Q10.5Billable
Congenital stenosis and stricture of lacrimal duct
- Q10.6Billable
Other congenital malformations of lacrimal apparatus
- Q10.7Billable
Congenital malformation of orbit
- Q11.0Billable
Cystic eyeball
- Q11.1Billable
Other anophthalmos
- Q11.2Billable
Microphthalmos
- Q11.3Billable
Macrophthalmos
- Q12.0Billable
Congenital cataract
- Q12.1Billable
Congenital displaced lens
- Q12.2Billable
Coloboma of lens
- Q12.3Billable
Congenital aphakia
- Q12.4Billable
Spherophakia
- Q12.8Billable
Other congenital lens malformations
- Q12.9Billable
Congenital lens malformation, unspecified
- Q13.0Billable
Coloboma of iris
- Q13.1Billable
Absence of iris
- Q13.2Billable
Other congenital malformations of iris
- Q13.3Billable
Congenital corneal opacity
- Q13.4Billable
Other congenital corneal malformations
- Q13.5Billable
Blue sclera
- Q13.81Billable
Rieger anomaly
- Q13.89Billable
Other congenital malformations of anterior segment of eye
- Q13.9Billable
Congenital malformation of anterior segment of eye, unspecified
- Q14.0Billable
Congenital malformation of vitreous humor
- Q14.1Billable
Congenital malformation of retina
- Q14.2Billable
Congenital malformation of optic disc
- Q14.3Billable
Congenital malformation of choroid
- Q14.8Billable
Other congenital malformations of posterior segment of eye
- Q14.9Billable
Congenital malformation of posterior segment of eye, unspecified
- Q15.0Billable
Congenital glaucoma
- Q15.8Billable
Other specified congenital malformations of eye
- Q15.9Billable
Congenital malformation of eye, unspecified
- Q16.0Billable
Congenital absence of (ear) auricle
- Q16.1Billable
Congenital absence, atresia and stricture of auditory canal (external)
- Q16.2Billable
Absence of eustachian tube
- Q16.3Billable
Congenital malformation of ear ossicles
- Q16.4Billable
Other congenital malformations of middle ear
- Q16.5Billable
Congenital malformation of inner ear
- Q16.9Billable
Congenital malformation of ear causing impairment of hearing, unspecified
- Q17.0Billable
Accessory auricle
- Q17.1Billable
Macrotia
- Q17.2Billable
Microtia
- Q17.3Billable
Other misshapen ear
- Q17.4Billable
Misplaced ear
- Q17.5Billable
Prominent ear
- Q17.8Billable
Other specified congenital malformations of ear
- Q17.9Billable
Congenital malformation of ear, unspecified
- Q18.0Billable
Sinus, fistula and cyst of branchial cleft
- Q18.1Billable
Preauricular sinus and cyst
- Q18.2Billable
Other branchial cleft malformations
- Q18.3Billable
Webbing of neck
- Q18.4Billable
Macrostomia
- Q18.5Billable
Microstomia
- Q18.6Billable
Macrocheilia
- Q18.7Billable
Microcheilia
- Q18.8Billable
Other specified congenital malformations of face and neck
- Q18.9Billable
Congenital malformation of face and neck, unspecified
- Q20.0Billable
Common arterial trunk
- Q20.1Billable
Double outlet right ventricle
- Q20.2Billable
Double outlet left ventricle
- Q20.3Billable
Discordant ventriculoarterial connection
- Q20.4Billable
Double inlet ventricle
- Q20.5Billable
Discordant atrioventricular connection
- Q20.6Billable
Isomerism of atrial appendages