2027 ICD-10-CM Diagnosis Code Q35Cleft palate
Q35 is a non-billable ICD-10-CM category code for cleft palate, so it cannot be submitted on claims. Use a more specific code from this category instead, such as Q35.1, Q35.3, Q35.5, and Q35.7.
Code Identity
Code Classification
Specific Coding for Cleft palateOverview
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to Q35: its own notes plus those printed at block Q35-Q37 and Chapter 17. A note printed at a category, block or chapter applies to every code under it.
Includes
Further defines, or gives examples of, the content of the category.
- fissure of palate
- palatoschisis
Excludes1
Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.
- cleft palate with cleft lip (Q37.-)
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
- Robin's syndrome (Q87.0)
Use Additional Code
Add a second code, after this one, to fully describe the condition.
- code to identify associated malformation of the nose (Q30.2)
Notes
General instructions on how these codes are used.
- Codes from this chapter are not for use on maternal records
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name Q35, its category, or a range that includes it.
Excludes1 2
These codes carry an Excludes1 note naming Q35: they are not reported together with it, unless the two conditions are unrelated.
Excludes2 1
These codes carry an Excludes2 note naming Q35: its condition is not part of those codes, and both may be reported when the patient has both.
- Block Q10-Q18 Congenital malformations of eye, ear, face and neck
Clinical InformationClinical
Cleft Palate
congenital fissure of the soft and/or hard palate, due to faulty fusion.
Patient EducationClinical
Cleft Lip and Palate
Cleft lip and cleft palate are birth defects that occur when a baby's lip or mouth do not form properly. They happen early during pregnancy. A baby can have a cleft lip, a cleft palate, or both.
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Code HistoryHistory
Questions About Q35Overview
What is the ICD-10 code for cleft palate?
Q35 is the ICD-10-CM category for cleft palate, but it is a non-billable header: claims need a more specific code from this category, listed on this page.
Is Q35 (Cleft palate) a billable code?
No. This is a category header that groups the codes for cleft palate, and headers cannot be submitted on claims. Claims for cleft palate need a more specific code from this category, such as Q35.1, Q35.3, and Q35.5.
Can Q35 be reported with a code from Q37?
Not as a rule. The Excludes1 note on Q35 lists "cleft palate with cleft lip (Q37.-)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).