ICD-10-CM Code Q37

Cleft palate with cleft lip

Version 2020 Non-Billable Code

Not Valid for Submission

Q37 is a "header" nonspecific and non-billable code code, consider using a code with a higher level of specificity for a diagnosis of cleft palate with cleft lip. The code is NOT valid for the year 2020 for the submission of HIPAA-covered transactions.

ICD-10:Q37
Short Description:Cleft palate with cleft lip
Long Description:Cleft palate with cleft lip

Consider the following ICD-10 codes with a higher level of specificity:

  • Q37.0 - Cleft hard palate with bilateral cleft lip
  • Q37.1 - Cleft hard palate with unilateral cleft lip
  • Q37.2 - Cleft soft palate with bilateral cleft lip
  • Q37.3 - Cleft soft palate with unilateral cleft lip
  • Q37.4 - Cleft hard and soft palate with bilateral cleft lip
  • Q37.5 - Cleft hard and soft palate with unilateral cleft lip
  • Q37.8 - Unspecified cleft palate with bilateral cleft lip
  • Q37.9 - Unspecified cleft palate with unilateral cleft lip

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code Q37:

Includes

Includes
This note appears immediately under a three character code title to further define, or give examples of, the content of the category.
  • cheilopalatoschisis

Code Classification

  • Congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
    • Cleft lip and cleft palate (Q35-Q37)
      • Cleft palate with cleft lip (Q37)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients


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.

A cleft lip happens if the tissue that makes up the lip does not join completely before birth. This causes an opening in the upper lip. The opening can be a small slit or a large opening that goes through the lip into the nose. It can be on one or both sides of the lip or, rarely, in the middle of the lip.

Children with a cleft lip also can have a cleft palate. The roof of the mouth is called the "palate." With a cleft palate, the tissue that makes up the roof of the mouth does not join correctly. Babies may have both the front and back parts of the palate open, or they may have only one part open.

Children with a cleft lip or a cleft palate often have problems with feeding and talking. They also might have ear infections, hearing loss, and problems with their teeth.

Often, surgery can close the lip and palate. Cleft lip surgery is usually done before age 12 months, and cleft palate surgery is done before 18 months. Many children have other complications. They may need additional surgeries, dental and orthodontic care, and speech therapy as they get older. With treatment, most children with clefts do well and lead a healthy life.

Centers for Disease Control and Prevention


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