Q35-Q37 — Cleft lip and cleft palate
ICD-10-CM codes Q35-Q37 cover cleft lip and cleft palate, within congenital malformations, deformations and chromosomal abnormalities. The block holds 19 codes across 3 categories, of which 16 are billable and 3 are header codes that cannot be submitted on a claim.
Excludes2 — not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
- Robin's syndrome (Q87.0)
Use additional code
Add a secondary code to capture the detail described below.
- code to identify associated malformation of the nose (Q30.2)
What else to watch in Q35-Q37
- 15 codes are named in Medicare coverage policies. An LCD or NCD lists them as supporting medical necessity, or explicitly as not supporting it. Which applies depends on the MAC for your state.