2019 ICD-10-CM Diagnosis Code Q37.9

Unspecified cleft palate with unilateral cleft lip

    2016 2017 2018 2019 Billable/Specific Code POA Exempt
  • Q37.9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2019 edition of ICD-10-CM Q37.9 became effective on October 1, 2018.
  • This is the American ICD-10-CM version of Q37.9 - other international versions of ICD-10 Q37.9 may differ.
Applicable To
  • Cleft palate with cleft lip NOS
The following code(s) above Q37.9 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 Q37.9:
  • 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
  • Q37
    ICD-10-CM Diagnosis Code Q37

    Cleft palate with cleft lip

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Includes
    • cheilopalatoschisis
    Cleft palate with cleft lip
Approximate Synonyms
  • Cleft palate and lip
  • Cleft palate with cleft lip
  • Cleft palate with cleft lip, unilateral, complete
  • Cleft palate with cleft lip, unilateral, incomplete
  • Complete cleft palate with cleft lip
  • Incomplete cleft palate with cleft lip
  • Unilateral complete cleft palate with cleft lip
  • Unilateral incomplete cleft palate with cleft lip
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.
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.
  • Q37.9 is considered exempt from POA reporting.
ICD-10-CM Q37.9 is grouped within Diagnostic Related Group(s) (MS-DRG v36.0):
  • 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 Q37.9 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

Diagnosis Index entries containing back-references to Q37.9:
  • Cleft (congenital) - see also Imperfect, closure
    • lip (unilateral) Q36.9
      ICD-10-CM Diagnosis Code Q36.9

      Cleft lip, unilateral

        2016 2017 2018 2019 Billable/Specific Code POA Exempt
      Applicable To
      • Cleft lip NOS
    • palate Q35.9
      ICD-10-CM Diagnosis Code Q35.9

      Cleft palate, unspecified

        2016 2017 2018 2019 Billable/Specific Code POA Exempt
      Applicable To
      • Cleft palate NOS

ICD-10-CM Codes Adjacent To Q37.9
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
Q38.1 Ankyloglossia
Q38.2 Macroglossia
Q38.3 Other congenital malformations of tongue
Q38.4 Congenital malformations of salivary glands and ducts
Q38.5 Congenital malformations of palate, not elsewhere classified
Q38.6 Other congenital malformations of mouth
Q38.7 Congenital pharyngeal pouch
Q38.8 Other congenital malformations of pharynx

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