2020 ICD-10-CM Diagnosis Code Q35.5

Cleft hard palate with cleft soft palate

    2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
  • Q35.5 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2020 edition of ICD-10-CM Q35.5 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of Q35.5 - other international versions of ICD-10 Q35.5 may differ.
The following code(s) above Q35.5 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to Q35.5:
  • Q00-Q99
    2020 ICD-10-CM Range Q00-Q99

    Congenital malformations, deformations and chromosomal abnormalities

    Note
    • Codes from this chapter are not for use on maternal records
    Type 2 Excludes
    • inborn errors of metabolism (E70-E88)
    Congenital malformations, deformations and chromosomal abnormalities
  • Q35-Q37
    2020 ICD-10-CM Range Q35-Q37

    Cleft lip and cleft palate

    Type 1 Excludes
    Use Additional
    • code to identify associated malformation of the nose (Q30.2)
    Cleft lip and cleft palate
  • Q35
    ICD-10-CM Diagnosis Code Q35

    Cleft palate

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Includes
    • fissure of palate
    • palatoschisis
    Type 1 Excludes
    • cleft palate with cleft lip (Q37.-)
    Cleft palate
Approximate Synonyms
  • Cleft hard palate w cleft soft palate
  • Cleft of hard and soft palate
Present On Admission
POA Help
"Present On Admission" is defined as present at the time the order for inpatient admission occurs — conditions that develop during an outpatient encounter, including emergency department, observation, or outpatient surgery, are considered POA.
  • Q35.5 is considered exempt from POA reporting.
ICD-10-CM Q35.5 is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):
  • 011 Tracheostomy for face, mouth & neck diagnoses or laryngectomy with mcc
  • 012 Tracheostomy for face, mouth & neck diagnoses or laryngectomy with cc
  • 013 Tracheostomy for face, mouth & neck diagnoses or laryngectomy without cc/mcc
  • 157 Dental and oral diseases with mcc
  • 158 Dental and oral diseases with cc
  • 159 Dental and oral diseases without cc/mcc

Convert Q35.5 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change

Diagnosis Index entries containing back-references to Q35.5:
  • Cleft (congenital) - see also Imperfect, closure
    • palate Q35.9
      ICD-10-CM Diagnosis Code Q35.9

      Cleft palate, unspecified

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      Applicable To
      • Cleft palate NOS
      • hard Q35.1
        ICD-10-CM Diagnosis Code Q35.1

        Cleft hard palate

          2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      • soft Q35.3
        ICD-10-CM Diagnosis Code Q35.3

        Cleft soft palate

          2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      • medial Q35.5

ICD-10-CM Codes Adjacent To Q35.5
Q33.8 Other congenital malformations of lung
Q33.9 Congenital malformation of lung, unspecified
Q34 Other congenital malformations of respiratory system
Q34.0 Anomaly of pleura
Q34.1 Congenital cyst of mediastinum
Q34.8 Other specified congenital malformations of respiratory system
Q34.9 Congenital malformation of respiratory system, unspecified
Q35 Cleft palate
Q35.1 Cleft hard palate
Q35.3 Cleft soft palate
Q35.5 Cleft hard palate with cleft soft palate
Q35.7 Cleft uvula
Q35.9 Cleft palate, unspecified
Q36 Cleft lip
Q36.0 Cleft lip, bilateral
Q36.1 Cleft lip, median
Q36.9 Cleft lip, unilateral
Q37 Cleft palate with cleft lip
Q37.0 Cleft hard palate with bilateral cleft lip
Q37.1 Cleft hard palate with unilateral cleft lip
Q37.2 Cleft soft palate with bilateral cleft lip

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.