Q38.7

Q38.7: Congenital pharyngeal pouch

Billable / specific codeICD-10-CMPOA exempt

Q38.7 is a billable, specific ICD-10-CM code for congenital pharyngeal pouch. It is valid for submission on a claim.

Check Q38.7 with the rest of the claim: free scrubber

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

pharyngeal pouch syndrome (D82.1)

Inclusion terms

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

Congenital diverticulum of pharynx

Excludes1 inherited from the categories above Q38.7

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.

Alphabetic index entries that lead here

Diverticulum, diverticula›pharynx(congenital)
Pouch›pharynx, pharyngeal(congenital)

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under Q38