2024 ICD-10-CM Diagnosis Code Q38.8

Other congenital malformations of pharynx

ICD-10-CM Code:
Q38.8
ICD-10 Code for:
Other congenital malformations of pharynx
Is Billable?
Yes - Valid for Submission
Chronic Condition Indicator: [1]
Chronic
Code Navigator:

Code Classification

  • Congenital malformations, deformations and chromosomal abnormalities
    (Q00-Q99)
    • Other congenital malformations of the digestive system
      (Q38-Q45)
      • Other congenital malformations of tongue, mouth and pharynx
        (Q38)

Q38.8 is a billable diagnosis code used to specify a medical diagnosis of other congenital malformations of pharynx. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

Approximate Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Congenital anomaly of pharynx
  • Congenital anomaly of tongue, salivary gland AND/OR pharynx
  • Congenital atresia of pharynx
  • Congenital atresia of pharynx
  • Congenital deformity of pharynx
  • Congenital enlargement of nasopharynx
  • Congenital malformation of tongue, mouth and pharynx
  • Congenital palato-esophageal incoordination
  • Congenital pharyngeal polyp
  • Congenital velopharyngeal dysfunction
  • Congenital velopharyngeal incompetence
  • Ectopic pituitary tissue
  • Glossopalatine ankylosis
  • Imperforate oropharynx, costovertebral anomalies syndrome
  • Oromandibular-limb hypogenesis spectrum
  • Pharyngeal pituitary tissue
  • Velopharyngeal inadequacy
  • Velopharyngeal inadequacy

Clinical Classification

Tabular List of Diseases and Injuries

The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.


Inclusion Terms

Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • Congenital malformation of pharynx NOS
  • Imperforate pharynx

Index to Diseases and Injuries References

The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).

Present on Admission (POA)

Q38.8 is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here.

CMS POA Indicator Options and Definitions

POA IndicatorReason for CodeCMS will pay the CC/MCC DRG?
YDiagnosis was present at time of inpatient admission.YES
NDiagnosis was not present at time of inpatient admission.NO
UDocumentation insufficient to determine if the condition was present at the time of inpatient admission.NO
WClinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.YES
1Unreported/Not used - Exempt from POA reporting. NO

Convert Q38.8 to ICD-9-CM

  • ICD-9-CM Code: 750.29 - Pharyngeal anomaly NEC

Patient Education


Throat Disorders

Your throat is a tube that carries food to your esophagus and air to your windpipe and larynx. The technical name for your throat is the pharynx.

Throat problems are common. You've probably had a sore throat. The cause is usually a viral infection, but other causes include allergies, infection with strep bacteria or the leaking of stomach acids back up into the esophagus, called GERD.

Other problems that affect the throat include:

  • Tonsillitis - inflammation of the tonsils
  • Cancer
  • Croup - inflammation, usually in small children, which causes a barking cough
  • Laryngitis - swelling of the voice box, which can cause a hoarse voice or loss of voice

Most throat problems are minor and go away on their own. Treatments, when needed, depend on the problem.


[Learn More in MedlinePlus]

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.

Footnotes

[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:

  • The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
  • The condition places limitations on self-care, independent living, and social interactions.