2019 ICD-10-CM Diagnosis Code Q38.4

Congenital malformations of salivary glands and ducts

    2016 2017 2018 2019 Billable/Specific Code POA Exempt
  • Q38.4 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 Q38.4 became effective on October 1, 2018.
  • This is the American ICD-10-CM version of Q38.4 - other international versions of ICD-10 Q38.4 may differ.
Applicable To
  • Atresia of salivary glands and ducts
  • Congenital absence of salivary glands and ducts
  • Congenital accessory salivary glands and ducts
  • Congenital fistula of salivary gland
The following code(s) above Q38.4 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 Q38.4:
  • 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
  • Q38
    ICD-10-CM Diagnosis Code Q38

    Other congenital malformations of tongue, mouth and pharynx

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Type 1 Excludes
    Other congenital malformations of tongue, mouth and pharynx
Approximate Synonyms
  • Congenital anomaly of salivary gland
  • Congenital salivary gland anomaly
  • Ranula, congenital
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.
  • Q38.4 is considered exempt from POA reporting.
ICD-10-CM Q38.4 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
  • 154 Other ear, nose, mouth and throat diagnoses with mcc
  • 155 Other ear, nose, mouth and throat diagnoses with cc
  • 156 Other ear, nose, mouth and throat diagnoses without cc/mcc

Convert Q38.4 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
Code annotations containing back-references to Q38.4:
  • Type 1 Excludes: K11.4
    ICD-10-CM Diagnosis Code K11.4

    Fistula of salivary gland

      2016 2017 2018 2019 Billable/Specific Code
    Type 1 Excludes
    • congenital fistula of salivary gland (Q38.4)

Diagnosis Index entries containing back-references to Q38.4:
  • Absence (of) (organ or part) (complete or partial)
    • salivary gland Q38.4(s)
  • Accessory (congenital)
    • parotid gland Q38.4 (and duct)
    • salivary gland Q38.4
    • submaxillary gland Q38.4
  • Agenesis
    • parotid gland Q38.4(s)
    • salivary gland Q38.4
    • submaxillary gland Q38.4(s) (congenital)
  • Anomaly, anomalous (congenital) (unspecified type) Q89.9
    ICD-10-CM Diagnosis Code Q89.9

    Congenital malformation, unspecified

      2016 2017 2018 2019 Billable/Specific Code POA Exempt
    Applicable To
    • Congenital anomaly NOS
    • Congenital deformity NOS
    • Bartholin's duct Q38.4
    • parotid Q38.4 (gland)
    • salivary duct or gland Q38.4
    • stenonian duct Q38.4
    • submaxillary gland Q38.4
  • Atresia, atretic
  • Calculus, calculi, calculous
    • sublingual duct or gland K11.5
      ICD-10-CM Diagnosis Code K11.5

      Sialolithiasis

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • Calculus of salivary gland or duct
      • Stone of salivary gland or duct
      • congenital Q38.4
  • Cyst (colloid) (mucous) (simple) (retention)
    • congenital NEC Q89.8
      ICD-10-CM Diagnosis Code Q89.8

      Other specified congenital malformations

        2016 2017 2018 2019 Billable/Specific Code POA Exempt
      Use Additional
      • code(s) to identify all associated manifestations
      • salivary gland Q38.4 (any)
  • Deformity Q89.9
    ICD-10-CM Diagnosis Code Q89.9

    Congenital malformation, unspecified

      2016 2017 2018 2019 Billable/Specific Code POA Exempt
    Applicable To
    • Congenital anomaly NOS
    • Congenital deformity NOS
  • Displacement, displaced
    • opening of Wharton's duct in mouth Q38.4
    • parotid gland Q38.4 (congenital)
    • salivary gland Q38.4 (any) (congenital)
    • sublingual duct Q38.4
  • Duplication, duplex - see also Accessory
    • salivary duct Q38.4
  • Fistula (cutaneous) L98.8
    ICD-10-CM Diagnosis Code L98.8

    Other specified disorders of the skin and subcutaneous tissue

      2016 2017 2018 2019 Billable/Specific Code
    • salivary duct or gland (any) K11.4
      ICD-10-CM Diagnosis Code K11.4

      Fistula of salivary gland

        2016 2017 2018 2019 Billable/Specific Code
      Type 1 Excludes
      • congenital fistula of salivary gland (Q38.4)
      • congenital Q38.4
  • Fusion, fused (congenital)
    • sublingual duct with submaxillary duct at opening in mouth Q38.4
  • Hypertrophy, hypertrophic
    • salivary gland (any) K11.1
      ICD-10-CM Diagnosis Code K11.1

      Hypertrophy of salivary gland

        2016 2017 2018 2019 Billable/Specific Code
      • congenital Q38.4
  • Hypoplasia, hypoplastic
    • parotid gland Q38.4
  • Ranula K11.6
    ICD-10-CM Diagnosis Code K11.6

    Mucocele of salivary gland

      2016 2017 2018 2019 Billable/Specific Code
    Applicable To
    • Mucous extravasation cyst of salivary gland
    • Mucous retention cyst of salivary gland
    • Ranula
    • congenital Q38.4

ICD-10-CM Codes Adjacent To Q38.4
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
Q39 Congenital malformations of esophagus
Q39.0 Atresia of esophagus without fistula
Q39.1 Atresia of esophagus with tracheo-esophageal fistula
Q39.2 Congenital tracheo-esophageal fistula without atresia
Q39.3 Congenital stenosis and stricture of esophagus
Q39.4 Esophageal web

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