2026 ICD-10-CM Diagnosis Code Q37.2Cleft soft palate with bilateral cleft lip
ICD-10-CM Codes›Q00-Q99›Q35-Q37›Q37
- Billable — Valid for Submission
- POA Exempt
- Chronic Condition
Q37.2 is a billable ICD-10-CM diagnosis code for cleft soft palate with bilateral cleft lip. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 11 through 13, 157 through 159. The code is exempt from POA reporting. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Cleft lip or palate.
Code Identity
Code Classification
Present on Admission (POA)Billing
Q37.2 is exempt from POA reporting on inpatient claims to general acute care hospitals. Review the other POA exempt codes in Cleft lip and cleft palate (Q35-Q37).
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Bilateral cleft lip and bilateral cleft of alveolar process of maxilla
- Cleft of soft palate and bilateral cleft lip
- Cleft palate and bilateral cleft lip
- Cleft palate with bilateral cleft lip and bilateral cleft of alveolar process of maxilla
- Cleft soft palate with bilateral cleft lip and bilateral cleft of alveolar process of maxilla
- Cleft soft palate with left cleft lip
- Cleft soft palate with left cleft lip and cleft of left alveolar process of maxilla
- Cleft soft palate with right cleft lip
- Cleft soft palate with right cleft lip and cleft of right alveolar process of maxilla
- Cleft upper lip, upper jaw AND palate
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
Cleft (congenital) See Also: Imperfect, closure;
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
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.
Convert Q37.2 to ICD-9-CMHistory
Code HistoryHistory
Questions About Q37.2Overview
What is the ICD-10 code for cleft soft palate with bilateral cleft lip?
The ICD-10-CM code for cleft soft palate with bilateral cleft lip is Q37.2 (sometimes written as Q372). It is billable on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
Is Q37.2 (Cleft palate with cleft lip) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report cleft soft palate with bilateral cleft lip on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What MS-DRG does Q37.2 group to?
When cleft soft palate with bilateral cleft lip is the principal diagnosis on an inpatient stay, it groups to MS-DRG 11, 12, 13, 157, 158, 159, with relative weights from 0.7085 to 5.4541 depending on complications. Higher weights mean higher Medicare reimbursement.
Is Q37.2 exempt from POA reporting?
Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for cleft soft palate with bilateral cleft lip on inpatient claims. The code appears in the Cleft lip and cleft palate (Q35-Q37) range of the CMS exempt list.
What is the ICD-9 equivalent of Q37.2?
Under the General Equivalence Mappings, cleft soft palate with bilateral cleft lip converts to ICD-9-CM 749.23 (bilat clft palat/lip-com) and 749.24 (bilat clft palat/lip-inc). The mapping is approximate, so confirm the match fits the documentation.
