2026 ICD-10-CM Diagnosis Code Q38.3Other congenital malformations of tongue
ICD-10-CM Codes›Q00-Q99›Q38-Q45›Q38
- Billable — Valid for Submission
- POA Exempt
- Chronic Condition
Q38.3 is a billable ICD-10-CM diagnosis code for other congenital malformations of tongue. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 157 through 159. The code is exempt from POA reporting. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Digestive congenital anomalies.
Code Identity
Code Classification
Present on Admission (POA)Billing
Q38.3 is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Aberrant insertion of frenum of tongue
- Bifid tongue
- Cleft tongue
- Combined malformation of central nervous system and skeletal muscle
- Congenital adhesions of tongue
- Congenital anomaly of tongue
- Congenital anomaly of tongue, salivary gland AND/OR pharynx
- Congenital malformation of tongue, mouth and pharynx
- Congenital malposition of tongue
- Congenital nuclear ophthalmoplegia
- Congenital plicated tongue
- Congenital protrusion of tongue
- Cyst of oral soft tissue
- Cyst of tongue
- Digestive duplication cyst of tongue
- Facial milia, lobate tongue, lingual and labial frenula syndrome
- Lobulated tongue
- Microglossia
- Mucogingival deformity on edentulous ridge
- Mucogingival deformity on edentulous ridge due to aberrant insertion of frenum of tongue
- Ophthalmoplegia, intellectual disability, lingua scrotalis syndrome
- Paralysis of tongue
- Plicated tongue
- Tongue absent
- Trifid tongue
Tabular List NotesGuidance
Coding notes and annotation back-references applicable to this code.
Inclusion Terms
- Aglossia
- Bifid tongue
- Congenital adhesion of tongue
- Congenital fissure of tongue
- Congenital malformation of tongue NOS
- Double tongue
- Hypoglossia
- Hypoplasia of tongue
- Microglossia
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.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
- tongue - Q38.3
- Adhesions, adhesive (postinfective) - K66.0
- congenital - See Also: Anomaly, by site;
- tongue (to gum or roof of mouth) - Q38.3
- Aglossia (congenital) - Q38.3
- Anomaly, anomalous (congenital) (unspecified type) - Q89.9
- tongue - Q38.3
- tongue - Q38.3
- tongue, congenital - Q38.3
- Cyst (colloid) (mucous) (simple) (retention)
- congenital NEC - Q89.89
- tongue - Q38.3
- tongue (congenital) - Q38.3
- tongue - Q38.3
- congenital - Q38.3
- congenital - Q38.3
- Hypoglossia - Q38.3
- tongue - Q38.3
- Malformation (congenital) - See Also: Anomaly;
- lingual - Q38.3
- tongue (congenital) - Q38.3
- tongue - Q38.3
- Microglossia (congenital) - Q38.3
External Cause of Injuries IndexGuidance
References for this code in the External Cause of Injuries Index.
- Absence(of) (organ or part) (complete or partial)
- tongue, congenital
- Accessory(congenital)
- tongue
- Adhesions, adhesive(postinfective)
- congenital
- tongue (to gum or roof of mouth)
- Adhesions, adhesive(postinfective)
- tongue, congenital (to gum or roof of mouth)
- Agenesis
- tongue
- Aglossia(congenital)
- Anomaly, anomalous(congenital) (unspecified type)
- tongue
- Bifid(congenital)
- tongue
- Bifurcation(congenital)
- tongue, congenital
- Cyst(colloid) (mucous) (simple) (retention)
- congenital NEC
- tongue
- Deformity
- tongue (congenital)
- Displacement, displaced
- tongue (downward) (congenital)
- Distortion(s) (congenital)
- tongue
- Double
- tongue
- Fissure, fissured
- tongue (acquired)
- congenital
- Furrowed
- tongue
- congenital
- Hypoglossia
- Hypoplasia, hypoplastic
- tongue
- Malformation(congenital)
- lingual
- Malformation(congenital)
- tongue (congenital)
- Malposition
- congenital
- tongue
- Microglossia(congenital)
- Trifid
- tongue
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Birth Defects
A birth defect is a problem that happens while a baby is developing in the mother's body. Most birth defects happen during the first 3 months of pregnancy. One out of every 33 babies in the United States is born with a birth defect.
The full article covers:
- What are birth defects?
- What causes birth defects?
- Who is at risk of having a baby with birth defects?
- How are birth defects diagnosed?
- What are the treatments for birth defects?
- Can birth defects be prevented?
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert Q38.3 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About Q38.3Overview
Is Q38.3 (Other congenital malformations of tongue, mouth and pharynx) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report other congenital malformations of tongue on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What MS-DRG does Q38.3 group to?
When other congenital malformations of tongue is the principal diagnosis on an inpatient stay, it groups to MS-DRG 157, 158, 159, with relative weights from 0.7085 to 1.7168 depending on complications. Higher weights mean higher Medicare reimbursement.
Is Q38.3 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 other congenital malformations of tongue on inpatient claims.
What is the ICD-9 equivalent of Q38.3?
Under the General Equivalence Mappings, other congenital malformations of tongue converts to ICD-9-CM 750.10 (tongue anomaly NOS), 750.11 (aglossia), and 750.12 (cong adhesions of tongue). The mapping is approximate, so confirm the match fits the documentation.
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.
