Q38.1

Q38.1: Ankyloglossia

Billable / specific codeICD-10-CMPOA exempt

Q38.1 is a billable, specific ICD-10-CM code for ankyloglossia. It is valid for submission on a claim.

Check Q38.1 with the rest of the claim: free scrubber

Inclusion terms

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

Tongue tie

Excludes1 inherited from the categories above Q38.1

A category’s note binds every code beneath it.

Written on Q38: Other congenital malformations of tongue, mouth and pharynx

dentofacial anomalies (M26.-)
macrostomia (Q18.4)
microstomia (Q18.5)

Risk adjustment

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

Medicare coverage

Q38.1 is named in 3 Medicare coverage policies: 3 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A53052Billing and Coding: Home Health Speech-Language Pathology
A54111Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
A56868Billing and Coding: Outpatient Speech Language Pathology

Alphabetic index entries that lead here

Ankyloglossia
Frenum, frenulum›tongue(shortening) (congenital)
Short, shortening, shortness›frenum, frenulum, linguae(congenital)
Syndrome›ankyloglossia superior
Tongue›tie
Malformation›tongue›tie

Code history

Unchanged in every release from FY2024 to FY2027.