Q38.4

Q38.4: Congenital malformations of salivary glands and ducts

Billable / specific codeICD-10-CMPOA exempt

Q38.4 is a billable, specific ICD-10-CM code for congenital malformations of salivary glands and ducts. It is valid for submission on a claim.

Check Q38.4 with the rest of the claim: free scrubber

Inclusion terms

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

Atresia of salivary glands and ducts
Congenital absence of salivary glands and ducts
Congenital accessory salivary glands and ducts
Congenital fistula of salivary gland

Excludes1 inherited from the categories above Q38.4

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 Q38.4

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

K11.4Fistula of salivary gland

Risk adjustment

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

Alphabetic index entries that lead here

Absence›salivary gland, congenital(s)
Accessory›parotid gland(and duct)
Accessory›salivary gland
Accessory›submaxillary gland
Agenesis›parotid gland(s)
Agenesis›salivary gland
Agenesis›submaxillary gland(s) (congenital)
Anomaly, anomalous›Bartholin's duct
Anomaly, anomalous›parotid(gland)
Anomaly, anomalous›salivary duct or gland
Anomaly, anomalous›stenonian duct
Anomaly, anomalous›submaxillary gland

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under Q38