2019 ICD-10-CM Diagnosis Code Q38.6

Other congenital malformations of mouth

    2016 2017 2018 2019 Billable/Specific Code POA Exempt
  • Q38.6 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 Q38.6 became effective on October 1, 2018.
  • This is the American ICD-10-CM version of Q38.6 - other international versions of ICD-10 Q38.6 may differ.
Applicable To
  • Congenital malformation of mouth NOS
The following code(s) above Q38.6 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 Q38.6:
  • 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 mouth
  • Congenital anomaly of the mouth
  • Fordyce spots of mouth
  • Fordyce's disease
Clinical Information
  • Congenital absence of or defects in structures of the mouth.
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.
  • Q38.6 is considered exempt from POA reporting.
ICD-10-CM Q38.6 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 Q38.6 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 Q38.6:
  • Aberrant (congenital) - see also Malposition, congenital
    • sebaceous glands, mucous membrane, mouth, congenital Q38.6
  • Absence (of) (organ or part) (complete or partial)
    • lip Q38.6
  • Acheilia Q38.6
  • 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
    • gum Q38.6
    • mouth Q38.6
  • Aplasia - see also Agenesis
  • 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
      • sublingual Q38.6
      • submaxillary gland Q38.6
  • 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
    • mouth (acquired) K13.79
      ICD-10-CM Diagnosis Code K13.79

      Other lesions of oral mucosa

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • Focal oral mucinosis
      • congenital Q38.6
  • Disease, diseased - see also Syndrome
    • Fordyce's Q38.6 (ectopic sebaceous glands) (mouth)
  • Ectopic, ectopia (congenital)
    • sebaceous glands of mouth Q38.6
  • Elongated, elongation (congenital) - see also Distortion
    • uvula Q38.6
  • Fordyce's disease Q38.6 (mouth)
  • Islands of
  • Malformation (congenital) - see also Anomaly
    • gum Q38.6
    • mouth Q38.6 (congenital)
  • Nevus D22.9
    ICD-10-CM Diagnosis Code D22.9

    Melanocytic nevi, unspecified

      2016 2017 2018 2019 Billable/Specific Code
    • mouth (mucosa) D10.30
      ICD-10-CM Diagnosis Code D10.30

      Benign neoplasm of unspecified part of mouth

        2016 2017 2018 2019 Billable/Specific Code
      • white sponge Q38.6
    • oral mucosa D10.30
      ICD-10-CM Diagnosis Code D10.30

      Benign neoplasm of unspecified part of mouth

        2016 2017 2018 2019 Billable/Specific Code
      • white sponge Q38.6

ICD-10-CM Codes Adjacent To Q38.6
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
Q39.5 Congenital dilatation of esophagus
Q39.6 Congenital diverticulum of esophagus

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