Q35.1
Q35.1: Cleft hard palate
Billable / specific codeICD-10-CMPOA exempt
Q35.1 is a billable, specific ICD-10-CM code for cleft hard palate. It is valid for submission on a claim.
Check Q35.1 with the rest of the claim: free scrubberOther codes that can never be billed with Q35.1
Their own Excludes1 notes name this code, so the conflict is not listed above.
- Q38.5Congenital malformations of palate, not elsewhere classified
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
Q35.1 is named in 8 Medicare coverage policies: 8 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A54111Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
- A56587Billing and Coding: Cosmetic and Reconstructive Surgery
- A56658Billing and Coding: Cosmetic and Reconstructive Surgery
- A56868Billing and Coding: Outpatient Speech Language Pathology
Alphabetic index entries that lead here
- Perforation, perforated›palatine vault
- Cleft›palate›hard
Code history
Unchanged in every release from FY2024 to FY2027.