2019 ICD-10-CM Diagnosis Code Q37

Cleft palate with cleft lip

    2016 2017 2018 2019 Non-Billable/Non-Specific Code
  • Q37 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • The 2019 edition of ICD-10-CM Q37 became effective on October 1, 2018.
  • This is the American ICD-10-CM version of Q37 - other international versions of ICD-10 Q37 may differ.
Includes
Includes Help
"Includes" further defines, or give examples of, the content of the code or category.
  • cheilopalatoschisis
The following code(s) above Q37 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 Q37:
  • Q00-Q99
    2019 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
    2019 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
Clinical Information
  • Cleft lip and cleft palate are birth defects that affect the upper lip and roof of the mouth. They happen when the tissue that forms the roof of the mouth and upper lip don't join before birth. The problem can range from a small notch in the lip to a groove that runs into the roof of the mouth and nose. This can affect the way the child's face looks. It can also lead to problems with eating, talking and ear infections. Treatment usually is surgery to close the lip and palate. Doctors often do this surgery in several stages. Usually the first surgery is during the baby's first year. With treatment, most children with cleft lip or palate do well.
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
Code annotations containing back-references to Q37:
  • Type 1 Excludes: Q35
    , Q36
    , Q38.0
    , Q38.5
    ICD-10-CM Diagnosis Code Q35

    Cleft palate

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Includes
    • fissure of palate
    • palatoschisis
    Type 1 Excludes
    • cleft palate with cleft lip (Q37.-)
    ICD-10-CM Diagnosis Code Q36

    Cleft lip

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Includes
    • cheiloschisis
    • congenital fissure of lip
    • harelip
    • labium leporinum
    Type 1 Excludes
    • cleft lip with cleft palate (Q37.-)
    ICD-10-CM Diagnosis Code Q38.0

    Congenital malformations of lips, not elsewhere classified

      2016 2017 2018 2019 Billable/Specific Code POA Exempt
    Applicable To
    • Congenital fistula of lip
    • Congenital malformation of lip NOS
    • Van der Woude's syndrome
    Type 1 Excludes
    ICD-10-CM Diagnosis Code Q38.5

    Congenital malformations of palate, not elsewhere classified

      2016 2017 2018 2019 Billable/Specific Code POA Exempt
    Applicable To
    • Congenital absence of uvula
    • Congenital malformation of palate NOS
    • Congenital high arched palate
    Type 1 Excludes
    • cleft palate (Q35.-)
    • cleft palate with cleft lip (Q37.-)
ICD-10-CM Codes Adjacent To Q37
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
Q38.0 Congenital malformations of lips, not elsewhere classified

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