2020 ICD-10-CM Diagnosis Code Q36.9

Cleft lip, unilateral

    2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
  • Q36.9 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 Q36.9 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of Q36.9 - other international versions of ICD-10 Q36.9 may differ.
Applicable To
  • Cleft lip NOS
The following code(s) above Q36.9 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 Q36.9:
  • 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
  • Q36
    ICD-10-CM Diagnosis Code Q36

    Cleft lip

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Includes
    • cheiloschisis
    • congenital fissure of lip
    • harelip
    • labium leporinum
    Type 1 Excludes
    • cleft lip with cleft palate (Q37.-)
    Cleft lip
Approximate Synonyms
  • Cleft lip
  • Cleft lip, complete
  • Cleft lip, incomplete
  • Complete cleft lip
  • Incomplete cleft lip
  • Unilateral complete cleft lip
  • Unilateral incomplete cleft lip
Clinical Information
  • A congenital abnormality consisting of one or more clefts (splits) in the upper lip, which may be accompanied by a cleft palate; it is the result of the failure of the embryonic parts of the lip to fuse.
  • Congenital defect in the upper lip where the maxillary prominence fails to merge with the merged medial nasal prominences. It is thought to be caused by faulty migration of the mesoderm in the head region.
  • Congenital defect in the upper lip where the maxillary prominence fails to merge with the merged medial nasal prominences; thought to be caused by faulty migration of the mesoderm in the head region.
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.
  • Q36.9 is considered exempt from POA reporting.
ICD-10-CM Q36.9 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 Q36.9 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 Q36.9:

ICD-10-CM Codes Adjacent To Q36.9
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
Q37.3 Cleft soft palate with unilateral cleft lip
Q37.4 Cleft hard and soft palate with bilateral cleft lip
Q37.5 Cleft hard and soft palate with unilateral cleft lip
Q37.8 Unspecified cleft palate with bilateral cleft lip
Q37.9 Unspecified cleft palate with unilateral cleft lip
Q38 Other congenital malformations of tongue, mouth and pharynx

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