Q37
Q37 — Cleft palate with cleft lip
Non-billable headerICD-10-CM
Q37 is a non-billable header ICD-10-CM code for cleft palate with cleft lip. It cannot be billed on its own: choose one of the more specific child codes below.
Includes
Conditions this code covers.
- cheilopalatoschisis
Other codes that can never be billed with Q37
These codes carry an Excludes1 note pointing at Q37. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading Q37 alone.
Risk adjustment
Q37 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead Q37
8 child codes. Green means billable.
- Q37.0Cleft hard palate with bilateral cleft lip
- Q37.1Cleft hard palate with unilateral cleft lip
- Q37.2Cleft soft palate with bilateral cleft lip
- Q37.3Cleft soft palate with unilateral cleft lip
- Q37.4Cleft hard and soft palate with bilateral cleft lip
- Q37.5Cleft hard and soft palate with unilateral cleft lip
- Q37.8Unspecified cleft palate with bilateral cleft lip
- Q37.9Unspecified cleft palate with unilateral cleft lip
Questions about Q37
- Is Q37 a billable ICD-10-CM code?
- No. Q37 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does Q37 sit in the tabular list?
- Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0), in the block Cleft lip and cleft palate (Q35-Q37).