MCMedicalCodingSoftware
Q35

Q35: Cleft palate

Non-billable headerICD-10-CM

Q35 is a non-billable header ICD-10-CM code for cleft palate. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

  • cleft palate with cleft lip (Q37.-)

Includes

Conditions this code covers.

  • fissure of palate
  • palatoschisis

Other codes that can never be billed with Q35

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

  • Q18Other congenital malformations of face and neck
  • Q38.5Congenital malformations of palate, not elsewhere classified

Risk adjustment

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

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead Q35

5 child codes. Green means billable.

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.