2019 ICD-10-CM Diagnosis Code Q38.7

Congenital pharyngeal pouch

    2016 2017 2018 2019 Billable/Specific Code POA Exempt
  • Q38.7 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 Q38.7 became effective on October 1, 2018.
  • This is the American ICD-10-CM version of Q38.7 - other international versions of ICD-10 Q38.7 may differ.
Applicable To
  • Congenital diverticulum of pharynx
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as Q38.7. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • pharyngeal pouch syndrome (
    ICD-10-CM Diagnosis Code D82.1

    Di George's syndrome

      2016 2017 2018 2019 Billable/Specific Code
    Applicable To
    • Pharyngeal pouch syndrome
    • Thymic alymphoplasia
    • Thymic aplasia or hypoplasia with immunodeficiency
    D82.1
    )
The following code(s) above Q38.7 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 Q38.7:
  • 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 diverticulum of pharynx
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.
  • Q38.7 is considered exempt from POA reporting.
ICD-10-CM Q38.7 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 Q38.7 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 Q38.7:
  • Diverticulum, diverticula (multiple) K57.90
    ICD-10-CM Diagnosis Code K57.90

    Diverticulosis of intestine, part unspecified, without perforation or abscess without bleeding

      2016 2017 2018 2019 Billable/Specific Code
    Applicable To
    • Diverticular disease of intestine NOS
    • pharynx Q38.7 (congenital)
  • Pouch
    • pharynx, pharyngeal Q38.7 (congenital)

ICD-10-CM Codes Adjacent To Q38.7
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
Q39.8 Other congenital malformations of esophagus

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