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Q18.2

Q18.2: Other branchial cleft malformations

Billable / specific codeICD-10-CMPOA exempt

Q18.2 is a billable, specific ICD-10-CM code for other branchial cleft malformations. It is valid for submission on a claim.

Check Q18.2 with the rest of the claim: free scrubber

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

  • Branchial cleft malformation NOS
  • Cervical auricle
  • Otocephaly

Excludes1 inherited from the categories above Q18.2

A category’s note binds every code beneath it.

Written on Q18: Other congenital malformations of face and neck

  • cleft lip and cleft palate (Q35-Q37)
  • conditions classified to Q67.0-Q67.4
  • congenital malformations of skull and face bones (Q75.-)
  • cyclopia (Q87.0)
  • dentofacial anomalies [including malocclusion] (M26.-)
  • malformation syndromes affecting facial appearance (Q87.0)
  • persistent thyroglossal duct (Q89.2)

Other codes that can never be billed with Q18.2

Their own Excludes1 notes name this code, so the conflict is not listed above.

  • Q17.4Misplaced ear
  • Q75Other congenital malformations of skull and face bones

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

Q18.2 is named in 2 Medicare coverage policies: 2 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

  • A54111Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
  • A57204Billing and Coding: MRI and CT Scans of the Head and Neck

Alphabetic index entries that lead here

  • Otocephaly
  • Auricle, auricular›cervical
  • Branchial›cartilage, congenital
  • Cervical›auricle
  • Cleft›branchial(persistent)
  • Malformation›branchial cleft
  • Persistence, persistent›branchial cleft NOS
  • Imperfect›closure›branchial cleft NOS
  • Malposition›congenital›auricle›cervical

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under Q18

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.