Q38.3

Q38.3: Other congenital malformations of tongue

Billable / specific codeICD-10-CMPOA exempt

Q38.3 is a billable, specific ICD-10-CM code for other congenital malformations of tongue. It is valid for submission on a claim.

Check Q38.3 with the rest of the claim: free scrubber

Inclusion terms

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

Aglossia
Bifid tongue
Congenital adhesion of tongue
Congenital fissure of tongue
Congenital malformation of tongue NOS
Double tongue
Hypoglossia
Hypoplasia of tongue
Microglossia

Excludes1 inherited from the categories above Q38.3

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)

Other codes that can never be billed with Q38.3

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

K14.5Plicated tongue

Risk adjustment

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

Medicare coverage

Q38.3 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

Aglossia(congenital)
Hypoglossia
Microglossia(congenital)
Absence›tongue, congenital
Accessory›tongue
Adhesions, adhesive›tongue, congenital(to gum or roof of mouth)
Agenesis›tongue
Anomaly, anomalous›tongue
Bifid›tongue
Bifurcation›tongue, congenital
Deformity›tongue(congenital)
Displacement, displaced›tongue(downward) (congenital)

Code history

Unchanged in every release from FY2024 to FY2027.